Provider Demographics
NPI:1083742050
Name:SCHULSTER, DAVID JULES (SLP)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:JULES
Last Name:SCHULSTER
Suffix:
Gender:M
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 GRANADA ST APT 10
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-4357
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10021 PINES BLVD
Practice Address - Street 2:SUITE C 103
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-6191
Practice Address - Country:US
Practice Address - Phone:954-435-9779
Practice Address - Fax:954-450-5375
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2009-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA4800235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist