Provider Demographics
NPI:1841233137
Name:SCHULTZ, DAVID FRANKLIN (PH D)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:FRANKLIN
Last Name:SCHULTZ
Suffix:
Gender:M
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 717
Mailing Address - Street 2:
Mailing Address - City:ABURNDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33823-0717
Mailing Address - Country:US
Mailing Address - Phone:863-680-1950
Mailing Address - Fax:863-683-4654
Practice Address - Street 1:930 ALICIA RD
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33801
Practice Address - Country:US
Practice Address - Phone:863-680-1950
Practice Address - Fax:863-683-4654
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 6121103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical