Provider Demographics
NPI:1346676970
Name:SCHUTZ, STEVEN (MA, MSED)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:SCHUTZ
Suffix:
Gender:M
Credentials:MA, MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11027 MEADOWSWEET LN
Mailing Address - Street 2:
Mailing Address - City:ROSCOE
Mailing Address - State:IL
Mailing Address - Zip Code:61073-6356
Mailing Address - Country:US
Mailing Address - Phone:815-520-2044
Mailing Address - Fax:
Practice Address - Street 1:11027 MEADOWSWEET LN
Practice Address - Street 2:
Practice Address - City:ROSCOE
Practice Address - State:IL
Practice Address - Zip Code:61073-6356
Practice Address - Country:US
Practice Address - Phone:815-520-2044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-14
Last Update Date:2013-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst