Individual
MR. GARY MICHAEL SCHULTHEIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LMFT
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34002273A
IN
106H00000X
Marriage & Family Therapist
35000058A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000234060
BLUE CROSS/BLUE SHIELD
—
01
—
241976000
MAGELLAN
—
01
—
262775
VALUE OPTIONS
—
01
—
67230
CIGNA
—
01
—
7014115
AETNA
—
Enumeration date
06/14/2005
Last updated
01/07/2010
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