Individual
KRYSTEN TIFFANY SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 N CENTER ST, NORTHVILLE, MI 48167-1277
(313) 656-4052
Mailing address
2400 SCIENCE PKWY, OKEMOS, MI 48864-2560
(517) 374-8066
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6362009745
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/18/2019
Last updated
08/01/2023
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