Provider Demographics
NPI:1275838534
Name:SCHULTE, SANDRA A (LPT)
Entity type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:A
Last Name:SCHULTE
Suffix:
Gender:F
Credentials:LPT
Other - Prefix:MRS
Other - First Name:SANDRA
Other - Middle Name:A
Other - Last Name:POLLOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPT
Mailing Address - Street 1:2275 SWALLOW HILL ROAD
Mailing Address - Street 2:BLDG. 2600
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220
Mailing Address - Country:US
Mailing Address - Phone:412-279-4522
Mailing Address - Fax:412-279-3828
Practice Address - Street 1:2275 SWALLOW HILL RD
Practice Address - Street 2:BLDG. 2600
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-1656
Practice Address - Country:US
Practice Address - Phone:412-279-4522
Practice Address - Fax:412-279-3828
Is Sole Proprietor?:No
Enumeration Date:2011-01-18
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA6120174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist