Organization
KENNETH A SHULTZ EDD PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH A SHULTZ EDD (PRESIDENT)
(360) 567-1665
Entity
Organization
Contact information
Practice address
7600 NE 41ST ST, #310, VANCOUVER, WA 98662-6728
(360) 567-1665
(360) 253-3196
Mailing address
7600 NE 41ST ST, #310, VANCOUVER, WA 98662-6728
(360) 567-1665
(360) 253-3196
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY760
WA
Other
Enumeration date
11/15/2005
Last updated
10/30/2007
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