Doctor Name: | MR. ROGER WILLIAM SCHMITZ |
NPI Number: | 1821264003 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S., CCC-SLP |
License Number: | 2258-154 |
Business Practice Address: | 305 S Clark St Mayville, WI - 530501488 |
Business Phone Number: | 9203871370 |
Business Fax Number: | 9203872429 |
Mailing Address: | 305 S Clark St, MAYVILLE |
State: | WI |
Postal Code: | 530501488 |
Phone Number: | 9203871370 |
Fax Number: | 9203872429 |
NPI Enumeration Date: | 05/07/2008 |
NPI Last Update Date: | 09/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2258-154 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
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 |