Provider Demographics
NPI:1376675694
Name:SCHULTZ, TARRIN (MA CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:TARRIN
Middle Name:
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3013 N. 67TH PLACE SUITE 101
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251
Mailing Address - Country:US
Mailing Address - Phone:480-247-9190
Mailing Address - Fax:480-247-9718
Practice Address - Street 1:3013 N. 67TH PLACE SUITE 101
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251
Practice Address - Country:US
Practice Address - Phone:480-247-9190
Practice Address - Fax:480-247-9718
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL007368235Z00000X
AZSLP6466235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist