Provider Demographics
NPI:1053683458
Name:SCHEINHARTZ, MARSHA
Entity Type:Individual
Prefix:
First Name:MARSHA
Middle Name:
Last Name:SCHEINHARTZ
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 1:4385 S BALSAM ST UNIT 12-204
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-4609
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4385 S BALSAM ST UNIT 12-204
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-4609
Practice Address - Country:US
Practice Address - Phone:720-234-5520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-31
Last Update Date:2019-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1778235Z00000X
COSLP0000023235Z00000X
DEO1-0001603235Z00000X
PASL011063235Z00000X
WYSP-664235Z00000X
01059047235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEO1-0001603OtherSTATE OF DE DIV OF PROFESSIONAL REGULATION PROFESSIONAL LICENSE
PASL011063OtherCOMMONWEALTH OF PA DEPT OF STATE BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS
CO0000023OtherCO DEPT OF REGULATORY AGENCIES DIV OF PROFESSIONS AND OCCUPATIONS
WYSP-664OtherSTATE OF WY BOARD OF EXAMINERS OF SPEECH PATHOLOGY/AUDIOLOGY
NE1778OtherSTATE OF NE DEPT OF HEALTH AND HUMAN SERVICES DIV OF PUBLIC HEALTH