Doctor Name: | ALICIA A SCHRAG |
NPI Number: | 1275813495 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 8645 |
Business Practice Address: | 14050 Nicollet Ave Suite 201 Burnsville, MN - 553375710 |
Business Phone Number: | 9529938487 |
Business Fax Number: | |
Mailing Address: | 14050 Nicollet Ave, Suite 201 BURNSVILLE |
State: | MN |
Postal Code: | 553375710 |
Phone Number: | 9529938487 |
Fax Number: | |
NPI Enumeration Date: | 08/18/2011 |
NPI Last Update Date: | 01/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 8645 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |