Provider Demographics
NPI:1982808333
Name:SCHULTHEIS, ALLISON VIRGINIA (MA,)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:VIRGINIA
Last Name:SCHULTHEIS
Suffix:
Gender:F
Credentials:MA,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:588 TOMICHI TRL
Mailing Address - Street 2:
Mailing Address - City:GUNNISON
Mailing Address - State:CO
Mailing Address - Zip Code:81230-4148
Mailing Address - Country:US
Mailing Address - Phone:970-641-1705
Mailing Address - Fax:
Practice Address - Street 1:588 TOMICHI TRL
Practice Address - Street 2:
Practice Address - City:GUNNISON
Practice Address - State:CO
Practice Address - Zip Code:81230-4148
Practice Address - Country:US
Practice Address - Phone:970-641-1705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist