Provider Demographics
NPI:1124114749
Name:SCHMIDT, MELISSA S (MS CCC SLP)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:S
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:S
Other - Last Name:SEEFELDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC SLP
Mailing Address - Street 1:COMPREHENSIVE REHAB, INC.
Mailing Address - Street 2:1377 11TH ST. NW
Mailing Address - City:CLINTON
Mailing Address - State:IA
Mailing Address - Zip Code:52732
Mailing Address - Country:US
Mailing Address - Phone:563-241-4230
Mailing Address - Fax:563-241-4233
Practice Address - Street 1:2016 CEDAR PLAZA DRIVE SUITE 9
Practice Address - Street 2:COMPREHENSIVE REHAB INC
Practice Address - City:MUSCATINE
Practice Address - State:IA
Practice Address - Zip Code:52761
Practice Address - Country:US
Practice Address - Phone:563-262-0253
Practice Address - Fax:563-262-8472
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA01723T235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0665711Medicaid