Provider Demographics
NPI:1043254782
Name:SCHULTE, DANIEL L (PHD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:L
Last Name:SCHULTE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1845 S DOBSON RD
Mailing Address - Street 2:SUITE 213
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85202-5661
Mailing Address - Country:US
Mailing Address - Phone:480-332-7981
Mailing Address - Fax:480-820-0239
Practice Address - Street 1:1845 S DOBSON RD
Practice Address - Street 2:SUITE 213
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-5661
Practice Address - Country:US
Practice Address - Phone:480-332-7981
Practice Address - Fax:480-820-0239
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2012-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3608103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical