Individual
JOHN C SHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
9080 LEAVITT RD, ELYRIA, OH 44035
(440) 986-2600
(440) 986-2603
Mailing address
259 SANDUSKY ST, ASHLAND, OH 44805
(419) 289-1876
(419) 281-6430
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3260
OH
103TC0700X
Clinical Psychologist
3260
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000140736
ANTHEM BCBS
OH
Enumeration date
06/27/2006
Last updated
09/11/2025
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