Provider Demographics
NPI:1154157253
Name:SCHUTTLER, KATHERINE L
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:L
Last Name:SCHUTTLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5611 N TUNNEL RD
Mailing Address - Street 2:
Mailing Address - City:UNIONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47468-9730
Mailing Address - Country:US
Mailing Address - Phone:317-439-0378
Mailing Address - Fax:
Practice Address - Street 1:652 S WALKER ST
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47403-2158
Practice Address - Country:US
Practice Address - Phone:317-439-0378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-13
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN99127281A104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker