Provider Demographics
NPI:1386709160
Name:SCHULTE, ED (PHD)
Entity type:Individual
Prefix:DR
First Name:ED
Middle Name:
Last Name:SCHULTE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:618 E 1714TH RD
Mailing Address - Street 2:
Mailing Address - City:BALDWIN CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66006-8229
Mailing Address - Country:US
Mailing Address - Phone:785-594-4165
Mailing Address - Fax:
Practice Address - Street 1:2947 SW WANAMAKER DR STE 101
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-5347
Practice Address - Country:US
Practice Address - Phone:785-354-0767
Practice Address - Fax:785-354-9582
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS00870235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS00870OtherSLP LICENSE