Provider Demographics
NPI:1003058603
Name:SCHWARZ, ELIN KENNEDY-ELMQUIST (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ELIN
Middle Name:KENNEDY-ELMQUIST
Last Name:SCHWARZ
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 1:25435 NW 168TH PL
Mailing Address - Street 2:
Mailing Address - City:HIGH SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32643-1637
Mailing Address - Country:US
Mailing Address - Phone:239-272-5893
Mailing Address - Fax:
Practice Address - Street 1:220 N MAIN ST
Practice Address - Street 2:SUITE 2
Practice Address - City:CHIEFLAND
Practice Address - State:FL
Practice Address - Zip Code:32626-0802
Practice Address - Country:US
Practice Address - Phone:352-490-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-27
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist