Individual
MRS. LISA SHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
11813 WAPITI WAY, NOBLESVILLE, IN 46060-7933
(317) 979-0173
Mailing address
303 N HURSTBOURNE PKWY, SUITE 200, LOUISVILLE, KY 40222-5185
(150) 241-2584
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004278A
IN
Other
Enumeration date
05/15/2008
Last updated
09/26/2012
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