Individual
DR. LAURA T SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
13 FAIRLANE DR, JOLIET, IL 60435-6483
(312) 802-1956
Mailing address
13 FAIRLANE DR, JOLIET, IL 60435-6483
(312) 802-1956
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-004309
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IL5230
PART B
IL
Enumeration date
05/24/2005
Last updated
05/12/2015
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