Provider Demographics
NPI:1861691230
Name:SCHULZ, RONALD (MA CCC-SLP)
Entity type:Individual
Prefix:MR
First Name:RONALD
Middle Name:
Last Name:SCHULZ
Suffix:
Gender:M
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 ISLAND DR
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-4455
Mailing Address - Country:US
Mailing Address - Phone:732-701-0788
Mailing Address - Fax:
Practice Address - Street 1:47 ISLAND DR
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-4455
Practice Address - Country:US
Practice Address - Phone:732-701-0788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-16
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJYS000086235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist