Active NPIIndividual providerSole proprietor

Kenneth D Schultz, PHD

Psychologist, Clinical in Woodbury, Connecticut

NPI Number1265456784
Practice location
15 Laurel Woods RD, Woodbury, CT 06798-2516
Fax
203-263-0290
Last updated
July 8, 2007

Kenneth David Schultz is a Psychologist, Clinical based in Woodbury, CT. Kenneth David Schultz practices in Woodbury, CT and has the professional credentials of PHD. The NPI Number for Kenneth David Schultz is 1265456784 and holds a License No. 000673 (CT). The current practice location address for Kenneth David Schultz is 15 Laurel Woods RD, Woodbury, CT 06798-2516 and can be reached out via phone at 203-263-0290 and via fax at 203-263-0290.

Provider Profile Details

NPI Number
1265456784
Provider Name
Kenneth David Schultz
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
15 Laurel Woods RD, Woodbury, CT 06798-2516
Phone Number
203-263-0290
Fax Number
203-263-0290
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Other Names
-- K. David Schultz, PHD (Professional Name)
Provider Enumeration Date
July 27, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Laurel Woods RD
Woodbury, CT 06798-2516
Zip
06798-2516
Phone Number
203-263-0290
Fax Number
203-263-0290
Woodbury, CT 06798Get directions →

Provider Business Mailing Address Details

Address
15 Laurel Woods RD
Woodbury, CT 06798-2516
City
Woodbury
State
CT
Zip
06798-2516
Phone Number
203-263-0290
Fax Number
203-263-0290

License Information

License Number
000673
License State
CT
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kenneth D Schultz, PHD?

The NPI number of Kenneth D Schultz, PHD is 1265456784. It was assigned on July 27, 2006 and is currently active in the NPPES registry.

What is the specialty of Kenneth D Schultz, PHD?

Kenneth D Schultz, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in CT under license number 000673.

Where does Kenneth D Schultz, PHD practice?

The practice location is 15 Laurel Woods RD, Woodbury, CT 06798-2516. The office can be reached at 203-263-0290 (phone) or 203-263-0290 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265456784 directly on the NPPES registry website.

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