Schult, Jean M

Schult, Jean M is an individual health care provider with primary practice located at 9 4Th Ave , Bay Shore NY 11706-7908. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Schult, Jean M can be contacted via phone (631) 665-6707.

Contact Information

Primary practice address
9 4Th Ave Bay Shore NY 11706-7908
Phone: (631) 665-6707
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 00058197 New York

Profile Details

NPI number 1982756938
LBN Legal business name Schult, Jean M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Sep 6th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1982756938 NPPES
New York MEDICAID 0058197

Popular Providers