Individual
DALE SCHULZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23164 DRAGOON RD, LIGNUM, VA 22726-2036
(703) 208-1539
Mailing address
23164 DRAGOON ROAD, LIGNUM, VA 22726-2036
(703) 208-1539
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810000276
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0810000276
STATE LICENSE
VA
Enumeration date
03/01/2007
Last updated
09/16/2008
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