Provider Demographics
NPI:1285103770
Name:SCHRAM-JAMERSON, LLC
Entity type:Organization
Organization Name:SCHRAM-JAMERSON, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SLP
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHRAM
Authorized Official - Suffix:
Authorized Official - Credentials:MS,CCC-SLP
Authorized Official - Phone:409-289-2212
Mailing Address - Street 1:28604 INTERSTATE 10 W UNIT 8
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-9115
Mailing Address - Country:US
Mailing Address - Phone:830-755-8853
Mailing Address - Fax:830-755-8875
Practice Address - Street 1:28604 INTERSTATE 10 W UNIT 8
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-9115
Practice Address - Country:US
Practice Address - Phone:830-755-8853
Practice Address - Fax:830-755-8875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-14
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and SpeechGroup - Multi-Specialty