Provider Demographics
NPI:1679919906
Name:SCHULTZ, CHELSEA ANN (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:ANN
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MS
Other - First Name:CHELSEA
Other - Middle Name:ANN
Other - Last Name:OYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:47100 CHASE POINT LN
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON PK
Mailing Address - State:MD
Mailing Address - Zip Code:20653-4444
Mailing Address - Country:US
Mailing Address - Phone:845-558-4816
Mailing Address - Fax:
Practice Address - Street 1:23595 HAYDEN FARM LN
Practice Address - Street 2:
Practice Address - City:LEONARDTOWN
Practice Address - State:MD
Practice Address - Zip Code:20650-5887
Practice Address - Country:US
Practice Address - Phone:240-309-4856
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-14
Last Update Date:2018-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023886235Z00000X
MD07785235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03865354Medicaid