Provider Demographics
NPI:1780909788
Name:SCHULZ, GEORGE O (PHD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:O
Last Name:SCHULZ
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5178 BLAZER MEMORIAL PKWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-8325
Mailing Address - Country:US
Mailing Address - Phone:614-766-0379
Mailing Address - Fax:
Practice Address - Street 1:5178 BLAZER MEMORIAL PKWY
Practice Address - Street 2:SUITE B
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-8325
Practice Address - Country:US
Practice Address - Phone:614-766-0379
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-01
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4777103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist