| Provider / Organization | NPI | Date Certified |
|---|---|---|
| EMILY JO SCHULTZ | 1699196923 | 2023-02-11 |
Emily J Zillmer [F] graduated in 2014 and primarily specializes in Psychologist, Clinical.
Emily Jo Schultz is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1699196923. Registration indicates Emily Jo Schultz is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Psychologist (Behavioral Health & Social Service Providers, Psychologist) (Psychologist: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychologist Clinical, Behavioral Health & Social Service Providers) (Psychologist, )
| PECOS ID | 2062714975 |
| Registration | PART-B:Y DME:Y HHA:N PMD:N |
| Entity Type | Individual |
| Provider Name | Dr. Emily Jo Schultz PSYD. |
| Other Provider Name | Dr. Emily Jo Zillmer |
| Practice Office Address | 459 EAST FIRST STREET FOND DU LAC, WI US |
| Practice Office Telephone | 9209293500 |
| Practice Office Fax | 9209297110 |
| Mailing Address | 459 EAST FIRST STREET FOND DU LAC, WI 54935 US |
| Business Telephone | 9209293500 |
| Business Fax | 9209297110 |
| Code | Practice | License No State |
|---|---|---|
| 103TC0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Psychologist Behavioral Health & Social Service Providers Psychologist Psychologist: Clinical Behavioral Health/Substance Abuse/Psychiatry Psychologist Clinical Behavioral Health & Social Service Providers Psychologist | 3320-57
WI |