Provider Demographics
NPI:1003245440
Name:SCHRAM, AMY
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:SCHRAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12001 TIMBERRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68133-4709
Mailing Address - Country:US
Mailing Address - Phone:402-827-1850
Mailing Address - Fax:
Practice Address - Street 1:12001 TIMBERRIDGE DR
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68133-4709
Practice Address - Country:US
Practice Address - Phone:402-827-1850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-06
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2013002739235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist