Doctor Name: | MICHAELA SCHENDEL |
NPI Number: | 1104105519 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 12155565 |
Business Practice Address: | 1606 Hunt Dr Normal, IL - 617612192 |
Business Phone Number: | 3094520069 |
Business Fax Number: | 3094518989 |
Mailing Address: | 1706 Setter St, NORMAL |
State: | IL |
Postal Code: | 617615632 |
Phone Number: | 3094520069 |
Fax Number: | 3094518989 |
NPI Enumeration Date: | 08/16/2011 |
NPI Last Update Date: | 08/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 12155565 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |