Provider Demographics
NPI:1548376908
Name:SCHULTZ, MICHELE L (AUD, CCC-A)
Entity type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:L
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 RIVER CLUB RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-6722
Mailing Address - Country:US
Mailing Address - Phone:954-226-0045
Mailing Address - Fax:
Practice Address - Street 1:3937 SUNSET BLVD STE B
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-2423
Practice Address - Country:US
Practice Address - Phone:803-900-4890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2018-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4066231H00000X
FLAY1620231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist