Provider Demographics
NPI:1780026682
Name:SCHUTZ, ANTONI J S (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ANTONI
Middle Name:J S
Last Name:SCHUTZ
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:ANTONI
Other - Middle Name:J S
Other - Last Name:HANIGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, MFS
Mailing Address - Street 1:1640 L ST
Mailing Address - Street 2:STE C
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68508-2581
Mailing Address - Country:US
Mailing Address - Phone:402-489-9792
Mailing Address - Fax:402-489-9793
Practice Address - Street 1:1640 L ST STE C
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68508-2581
Practice Address - Country:US
Practice Address - Phone:402-489-9792
Practice Address - Fax:402-489-9793
Is Sole Proprietor?:No
Enumeration Date:2013-07-22
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE891103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical