Provider Demographics
NPI:1124165717
Name:SCHAEFER, NOREEN PATRICIA (MS,CCCSLP)
Entity type:Individual
Prefix:MISS
First Name:NOREEN
Middle Name:PATRICIA
Last Name:SCHAEFER
Suffix:
Gender:F
Credentials:MS,CCCSLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 WARREN AVE
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-1318
Mailing Address - Country:US
Mailing Address - Phone:914-494-9904
Mailing Address - Fax:
Practice Address - Street 1:20 PLAZA WEST CEDARWOOD HALL
Practice Address - Street 2:WESTCHESTER INSTITUTE SPEECH AND HEARING
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1681
Practice Address - Country:US
Practice Address - Phone:914-493-8069
Practice Address - Fax:914-493-8976
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014815-1235Z00000X
NY014815235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist