Provider Demographics
NPI:1588898100
Name:SCHADELBAUER, MARGARET JANE (MED, CCC/SLP)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:JANE
Last Name:SCHADELBAUER
Suffix:
Gender:F
Credentials:MED, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 LEXINGTON ST
Mailing Address - Street 2:APT 5
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02452-3001
Mailing Address - Country:US
Mailing Address - Phone:781-893-9813
Mailing Address - Fax:
Practice Address - Street 1:501 LEXINGTON ST
Practice Address - Street 2:APT 5
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02452-3001
Practice Address - Country:US
Practice Address - Phone:781-893-9813
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-11
Last Update Date:2009-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1272235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist