Provider Demographics
NPI:1710077748
Name:SCHULTZE, MARIBETH JANE (PHD PSYCHOLOGY)
Entity Type:Individual
Prefix:DR
First Name:MARIBETH
Middle Name:JANE
Last Name:SCHULTZE
Suffix:
Gender:F
Credentials:PHD PSYCHOLOGY
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Mailing Address - Street 1:510 SHENNANDOAH DR
Mailing Address - Street 2:
Mailing Address - City:DE SOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115
Mailing Address - Country:US
Mailing Address - Phone:972-230-3111
Mailing Address - Fax:
Practice Address - Street 1:4500 SOUTH LANCASTER ROAD
Practice Address - Street 2:DALLAS VA MEDICAL CENTER PSYCHOLOGY SERVICE 116B
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75216
Practice Address - Country:US
Practice Address - Phone:214-857-0851
Practice Address - Fax:214-857-4116
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX23104103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist