Doctor Name: | ERIC E. SCHULTZ |
NPI Number: | 1023104064 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | |
Business Practice Address: | 1415 Vermont St Quincy, IL - 623013119 |
Business Phone Number: | 2172244453 |
Business Fax Number: | 2172249383 |
Mailing Address: | 1415 Vermont St, P.o. Box 7005 QUINCY |
State: | IL |
Postal Code: | 623013119 |
Phone Number: | 2172244453 |
Fax Number: | 2172249383 |
NPI Enumeration Date: | 10/05/2006 |
NPI Last Update Date: | 01/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |