Doctor Name: | MRS. MELISSA SCHAEFER |
NPI Number: | 1174797112 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC/SLP |
License Number: | 146.007422 |
Business Practice Address: | 3333 N Seminary St Rehabilitation Dept Galesburg, IL - 614011251 |
Business Phone Number: | 3093449600 |
Business Fax Number: | 3093449675 |
Mailing Address: | 3333 N Seminary St, Rehabilitation Dept GALESBURG |
State: | IL |
Postal Code: | 614011251 |
Phone Number: | 3093449600 |
Fax Number: | 3093449675 |
NPI Enumeration Date: | 04/22/2008 |
NPI Last Update Date: | 09/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146.007422 |
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 |