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NPI Code Detail

MEDICARE: MR. THOMAS STEPHEN SCHUTTE I ED. SPEC.

MEDICARE:  MR. THOMAS STEPHEN SCHUTTE I ED. SPEC.
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
1103TS0200XSchool Psychologist21329099OH

General Provider Information

NPI Number : 1891219325
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. THOMAS STEPHEN SCHUTTE I ED. SPEC.
Provider Business Mailing Address
First Line : 3939 WRENWOOD RD
Second Line :
City : TOLEDO
State : OH
Zip : 43623-1762
Country : US
Telephone Number : 419-473-3442
Fax Number : 419-473-3445
Provider Business Practice Location Address
First Line : 3939 WRENWOOD RD
Second Line :
City : TOLEDO
State : OH
Zip : 43623-1762
Country : US
Telephone Number : 419-473-3442
Fax Number : 419-473-3445
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2017
Last Update Date : 07/26/2017

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Directions to “ MR. THOMAS STEPHEN SCHUTTE I ED. SPEC.” Practice Location

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