Teresa L. Schultz, M.A. CCC

Individual provider Active NPI Speech-Language Pathologist · Walton, NE

NPI 1194975367 · NPPES record last updated Sep 24, 2008

Key facts

NPI
1194975367
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
332 (NE)
Practice address
1600 S 112TH St
Walton, NE 68461-9539
Phone
(402) 202-2286
NPI assigned
Sep 24, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
332NEMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 332 NE Yes

Addresses

Primary practice location

1600 S 112TH St
Walton, NE 68461-9539

Mailing address

1600 S 112TH St
Walton, NE 68461-9539
Phone (402) 202-2286

Other providers in Walton, NE

All providers in Walton, NE · Speech-Language Pathologist in Nebraska

Sources for this page

Verify at the official NPI Registry.