Individual
MR. GARY MICHAEL SCHULTHEIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LMFT
Contact information
Practice address
3700 BELLEMEADE AVE, STE 110, EVANSVILLE, IN 47714-0102
(812) 477-2350
(812) 477-2378
Mailing address
3700 BELLEMEADE AVE, STE 110, EVANSVILLE, IN 47714-0102
(812) 477-2350
(812) 477-2378
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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