Individual
MRS. HEATHER JAN SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
TELEMEDICINE SERVICES, 501 EASTERN AVE S, PARK RAPIDS, MN 56470-5647
(319) 471-8328
Mailing address
501 EASTERN AVE S, PARK RAPIDS, MN 56470-1757
(319) 471-8328
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2016022801
MN
Other
Enumeration date
05/10/2017
Last updated
11/20/2020
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