Provider Demographics
NPI:1881992089
Name:SCHULZ, IRENE (MS, CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:IRENE
Middle Name:
Last Name:SCHULZ
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5330 BRANCH CREEK CIR
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-9648
Mailing Address - Country:US
Mailing Address - Phone:513-518-4760
Mailing Address - Fax:
Practice Address - Street 1:5330 BRANCH CREEK CIR
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-9648
Practice Address - Country:US
Practice Address - Phone:513-518-4760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-11
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH8416235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist