Doctor Name: | STACI LYNN SCHELL |
NPI Number: | 1972804342 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC SLP |
License Number: | 12083245 |
Business Practice Address: | 751 Wyndemere Dr Longmont, CO - 805042552 |
Business Phone Number: | 3036820972 |
Business Fax Number: | 3036820972 |
Mailing Address: | 751 Wyndemere Dr, LONGMONT |
State: | CO |
Postal Code: | 805042552 |
Phone Number: | 3036820972 |
Fax Number: | 3036820972 |
NPI Enumeration Date: | 11/16/2010 |
NPI Last Update Date: | 03/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 12083245 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
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 |