Provider Demographics
NPI:1225859515
Name:SCHULTHEIS, ANN MARIE (PHD)
Entity type:Individual
Prefix:DR
First Name:ANN MARIE
Middle Name:
Last Name:SCHULTHEIS
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 1:4640 SANTA FE DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46241-6532
Mailing Address - Country:US
Mailing Address - Phone:317-243-7559
Mailing Address - Fax:317-486-4208
Practice Address - Street 1:4640 SANTA FE DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46241-6532
Practice Address - Country:US
Practice Address - Phone:317-243-7559
Practice Address - Fax:317-486-4208
Is Sole Proprietor?:No
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool