Provider Demographics
NPI:1588719108
Name:SCHUMACHER, SANDEE (MS CCC SLP)
Entity type:Individual
Prefix:
First Name:SANDEE
Middle Name:
Last Name:SCHUMACHER
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1027 REAMS RD
Mailing Address - Street 2:
Mailing Address - City:MOSCOW
Mailing Address - State:ID
Mailing Address - Zip Code:83843-7836
Mailing Address - Country:US
Mailing Address - Phone:231-342-1268
Mailing Address - Fax:
Practice Address - Street 1:640 N EISENHOWER ST
Practice Address - Street 2:
Practice Address - City:MOSCOW
Practice Address - State:ID
Practice Address - Zip Code:83843-9588
Practice Address - Country:US
Practice Address - Phone:208-882-6560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL00004322235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist