MEDICARE: HANNA SCHULTZ PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	P.08549	OH
2	103TC2200X	Clinical Child & Adolescent Psychologist	P.08549	OH
3	103T00000X	Psychologist	P.08549	OH

General Provider Information

NPI Number	:	1447845011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNA SCHULTZ PHD

Provider Business Mailing Address
First Line	:	5111 MAGNOLIA LAKE DR APT 346
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43081-5262
Country	:	US
Telephone Number	:	419-205-2634
Fax Number	:

Provider Business Practice Location Address
First Line	:	670 MERIDIAN WAY STE 163
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43082-2302
Country	:	US
Telephone Number	:	614-653-5281
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2021
Last Update Date	:	11/14/2023

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Directions to “ HANNA SCHULTZ PHD” Practice Location

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