Provider Demographics
NPI:1063452191
Name:SCHAUER, KATHY M (BC-HIS)
Entity Type:Individual
Prefix:MRS
First Name:KATHY
Middle Name:M
Last Name:SCHAUER
Suffix:
Gender:F
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 CORPORATE DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:BEAVER DAM
Mailing Address - State:WI
Mailing Address - Zip Code:53916-1281
Mailing Address - Country:US
Mailing Address - Phone:920-887-2822
Mailing Address - Fax:920-887-9655
Practice Address - Street 1:140 CORPORATE DR
Practice Address - Street 2:SUITE 1
Practice Address - City:BEAVER DAM
Practice Address - State:WI
Practice Address - Zip Code:53916-1281
Practice Address - Country:US
Practice Address - Phone:920-887-2822
Practice Address - Fax:920-887-9655
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI27760237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist