Provider Demographics
NPI:1962593145
Name:SCHMITT, DEBBI (MA)
Entity type:Individual
Prefix:MRS
First Name:DEBBI
Middle Name:
Last Name:SCHMITT
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5988 S LIMA RD
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:NY
Mailing Address - Zip Code:14414-9706
Mailing Address - Country:US
Mailing Address - Phone:585-438-4081
Mailing Address - Fax:585-425-1859
Practice Address - Street 1:370 CROSS KEYS OFFICE PARK
Practice Address - Street 2:
Practice Address - City:FAIRPORT
Practice Address - State:NY
Practice Address - Zip Code:14450-3511
Practice Address - Country:US
Practice Address - Phone:585-425-7710
Practice Address - Fax:585-425-1859
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY15274235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000927673001OtherHEALTH NOW
NYPO10015274OtherBLUE CHOICE/MONROE PLAN