Provider Demographics
NPI:1285879353
Name:SCHILTZ, MARGARET ANN (PSYD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:ANN
Last Name:SCHILTZ
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3095 RICHMOND PKWY STE 201
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94806-5878
Mailing Address - Country:US
Mailing Address - Phone:510-778-2816
Mailing Address - Fax:844-389-4917
Practice Address - Street 1:3095 RICHMOND PKWY STE 201
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94806-5878
Practice Address - Country:US
Practice Address - Phone:510-778-2816
Practice Address - Fax:844-389-4917
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CAPSY28446103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program