Provider Demographics
NPI:1023201670
Name:SCHOENEFELD, DALYNN MICHELE (MACCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:DALYNN
Middle Name:MICHELE
Last Name:SCHOENEFELD
Suffix:
Gender:F
Credentials:MACCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2819 5TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:SD
Mailing Address - Zip Code:57201-5834
Mailing Address - Country:US
Mailing Address - Phone:605-880-3581
Mailing Address - Fax:
Practice Address - Street 1:2819 5TH AVE NW
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:SD
Practice Address - Zip Code:57201-5834
Practice Address - Country:US
Practice Address - Phone:605-880-3581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-27
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD01134614235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist