| NPI | 1558724534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUKE T. SCHULTZ Psychologist 267-994-3977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS016964) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-03-29 |