Provider Demographics
NPI:1306126826
Name:HOFSTAD SCHUMACHER, LYNN MARIE (SLP)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:MARIE
Last Name:HOFSTAD SCHUMACHER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CHILDERS KNAPP ELEMENTARY SCHOOL
Mailing Address - Street 2:2634 ORIOLE ST
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72764
Mailing Address - Country:US
Mailing Address - Phone:479-750-8850
Mailing Address - Fax:844-952-0184
Practice Address - Street 1:CHILDERS KNAPP ELEMENTARY SCHOOL
Practice Address - Street 2:2634 ORIOLE ST
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72764
Practice Address - Country:US
Practice Address - Phone:479-750-8850
Practice Address - Fax:844-952-0184
Is Sole Proprietor?:No
Enumeration Date:2011-08-29
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKSP3181235Z00000X
ARP8444235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist