Provider Demographics
NPI:1154395572
Name:SCHUTZ, VALERIE JILL (MSCCC-A)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:JILL
Last Name:SCHUTZ
Suffix:
Gender:F
Credentials:MSCCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:201 TIMBERLAKE TRL
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-7890
Mailing Address - Country:US
Mailing Address - Phone:910-451-2767
Mailing Address - Fax:910-451-3766
Practice Address - Street 1:100 BREWSTER BLVD
Practice Address - Street 2:OPERATIONAL AUDIOLOGY BLDG 65
Practice Address - City:CAMP LEJEUNE
Practice Address - State:NC
Practice Address - Zip Code:28547-2538
Practice Address - Country:US
Practice Address - Phone:910-451-2767
Practice Address - Fax:910-451-3766
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT005821231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist