Provider Demographics
NPI:1003037367
Name:SCHIPPER, LUCY ANASTASIA (MT-BC)
Entity Type:Individual
Prefix:MRS
First Name:LUCY
Middle Name:ANASTASIA
Last Name:SCHIPPER
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2415 RUSSELL DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-4634
Mailing Address - Country:US
Mailing Address - Phone:319-277-3796
Mailing Address - Fax:319-268-0040
Practice Address - Street 1:7511 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613-5027
Practice Address - Country:US
Practice Address - Phone:319-268-0401
Practice Address - Fax:319-268-0400
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA05927225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist