Provider Demographics
NPI:1194806695
Name:SCHULTE, MURRIEL A (PHD)
Entity type:Individual
Prefix:MS
First Name:MURRIEL
Middle Name:A
Last Name:SCHULTE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2419 COIT RD
Mailing Address - Street 2:STE C
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-3731
Mailing Address - Country:US
Mailing Address - Phone:214-995-1123
Mailing Address - Fax:972-867-2497
Practice Address - Street 1:2419 COIT RD
Practice Address - Street 2:STE C
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-3731
Practice Address - Country:US
Practice Address - Phone:214-995-1123
Practice Address - Fax:972-867-2497
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23727103TH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX034387304Medicaid
TX200968Medicaid
TX034387301Medicaid
TX034387301Medicaid
TX613853Medicare PIN
TX8C9055Medicare ID - Type Unspecified