Provider Demographics
NPI:1417279985
Name:SCHMITZ, BARBARA J (SLPA)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:J
Last Name:SCHMITZ
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 DETROIT AVE
Mailing Address - Street 2:
Mailing Address - City:KINGMAN
Mailing Address - State:AZ
Mailing Address - Zip Code:86401-4227
Mailing Address - Country:US
Mailing Address - Phone:928-753-6197
Mailing Address - Fax:928-753-7756
Practice Address - Street 1:2901 DETROIT AVE
Practice Address - Street 2:
Practice Address - City:KINGMAN
Practice Address - State:AZ
Practice Address - Zip Code:86401-4227
Practice Address - Country:US
Practice Address - Phone:928-753-6197
Practice Address - Fax:928-753-7756
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-24
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLPA64382355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant