Provider Demographics
NPI:1891219325
Name:SCHUTTE, THOMAS STEPHEN I (ED SPEC)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:STEPHEN
Last Name:SCHUTTE
Suffix:I
Gender:M
Credentials:ED SPEC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3939 WRENWOOD RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-1762
Mailing Address - Country:US
Mailing Address - Phone:419-473-3442
Mailing Address - Fax:419-473-3445
Practice Address - Street 1:3939 WRENWOOD RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-1762
Practice Address - Country:US
Practice Address - Phone:419-473-3442
Practice Address - Fax:419-473-3445
Is Sole Proprietor?:No
Enumeration Date:2017-07-26
Last Update Date:2017-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH21329099103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool