Doctor Name: | STACY M SCHARES |
NPI Number: | 1770612988 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, SLP |
License Number: | 01427 |
Business Practice Address: | 402 10th St Se Suite 700 Cedar Rapids, IA - 524032435 |
Business Phone Number: | 3193659439 |
Business Fax Number: | 3193659368 |
Mailing Address: | 205 W Wacker Dr, Suite 1020 CHICAGO |
State: | IL |
Postal Code: | 606061216 |
Phone Number: | 3126400329 |
Fax Number: | |
NPI Enumeration Date: | 03/05/2007 |
NPI Last Update Date: | 11/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 01427 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
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 |