Doctor Name: | MARY ANGELA SCHWENKER |
NPI Number: | 1598050312 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S, CCC-SLP |
License Number: | 2009013315 |
Business Practice Address: | 17990 Spencer Rd Pleasant Valley, IA - 52767 |
Business Phone Number: | 5633324600 |
Business Fax Number: | |
Mailing Address: | 3121 Westmar Dr, BETTENDORF |
State: | IA |
Postal Code: | 527222608 |
Phone Number: | 5633408175 |
Fax Number: | |
NPI Enumeration Date: | 06/09/2011 |
NPI Last Update Date: | 01/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2009013315 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
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 |