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Individual

LINDA SCHULTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS PSYCHOLOGIST

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
01340
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
109947
BCBS
MO
05
493345003
MO
Enumeration date
06/02/2006
Last updated
07/01/2009
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