| Kenneth A Shultz Edd Ps | |
|
7600 Ne 41st St #310 Vancouver WA 98662-6728 | |
| (360) 567-1665 | |
| (360) 253-3196 |
| Full Name | Kenneth A Shultz Edd Ps |
|---|---|
| Speciality | Psychologist |
| Location | 7600 Ne 41st St, Vancouver, Washington |
| Authorized Official Name and Position | Kenneth A Shultz (PRESIDENT) |
| Authorized Official Contact | 3605671665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth A Shultz Edd Ps 7600 Ne 41st St #310 Vancouver WA 98662-6728 Ph: (360) 567-1665 | Kenneth A Shultz Edd Ps 7600 Ne 41st St #310 Vancouver WA 98662-6728 Ph: (360) 567-1665 |
| NPI Number | 1568444776 |
|---|---|
| Provider Enumeration Date | 11/15/2005 |
| Last Update Date | 10/30/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568444776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY760 (Washington) | Primary |
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