Provider Demographics
NPI:1386198687
Name:SCHULTZ, CAITLYN ANNA (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CAITLYN
Middle Name:ANNA
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10400 WARNER SMITH BLVD
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-4564
Mailing Address - Country:US
Mailing Address - Phone:281-213-1650
Mailing Address - Fax:
Practice Address - Street 1:10300 JONES RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-4208
Practice Address - Country:US
Practice Address - Phone:281-213-1650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-04
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111625235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist