Provider Demographics
NPI:1528188554
Name:SCHULTZ, CINDY D (MS LPC)
Entity Type:Individual
Prefix:MS
First Name:CINDY
Middle Name:D
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:MS LPC
Other - Prefix:MRS
Other - First Name:CINDY
Other - Middle Name:D
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS LPC
Mailing Address - Street 1:15721 SE 44TH ST
Mailing Address - Street 2:
Mailing Address - City:CHOCTAW
Mailing Address - State:OK
Mailing Address - Zip Code:73020-6035
Mailing Address - Country:US
Mailing Address - Phone:405-514-0644
Mailing Address - Fax:
Practice Address - Street 1:909 ALAMEDA ST
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-5229
Practice Address - Country:US
Practice Address - Phone:405-573-3927
Practice Address - Fax:405-573-8245
Is Sole Proprietor?:No
Enumeration Date:2007-03-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2491101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health