| Doctor Name: | DR. MATHEW WILLIAM SCHULTZ |
| NPI Number: | 1215039169 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY D LP |
| License Number: | LP 4093 |
| Business Practice Address: | 900 Long Lake Rd Suite 320 Arden Woods Psychological Services New Brighton, MN - 551126428 |
| Business Phone Number: | 6514829361 |
| Business Fax Number: | 6514829888 |
| Mailing Address: | 900 Long Lake Rd, Suite 320 Arden Woods Psychological Services NEW BRIGHTON |
| State: | MN |
| Postal Code: | 551126428 |
| Phone Number: | 6514829361 |
| Fax Number: | 6514829888 |
| NPI Enumeration Date: | 09/02/2006 |
| NPI Last Update Date: | 04/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | LP 4093 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |