Provider Demographics
NPI:1891208138
Name:GEORGE O SCHULZ PHD INC
Entity Type:Organization
Organization Name:GEORGE O SCHULZ PHD INC
Other - Org Name:GEORGE O SCHULZ PHD INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:O
Authorized Official - Last Name:SCHULZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:614-787-4182
Mailing Address - Street 1:4230 TULLER RD
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-5065
Mailing Address - Country:US
Mailing Address - Phone:614-787-4182
Mailing Address - Fax:
Practice Address - Street 1:4230 TULLER RD
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-5065
Practice Address - Country:US
Practice Address - Phone:614-787-4182
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-08
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4777103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty