Provider Demographics
NPI:1073890216
Name:SCHMIEL, KATHERINE EASTMAN (MA, CCCSLP)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:EASTMAN
Last Name:SCHMIEL
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Gender:F
Credentials:MA, CCCSLP
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Mailing Address - Street 1:1153 BURGOYNE AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:FORT EDWARD
Mailing Address - State:NY
Mailing Address - Zip Code:12828-1134
Mailing Address - Country:US
Mailing Address - Phone:518-746-3310
Mailing Address - Fax:518-746-3319
Practice Address - Street 1:1153 BURGOYNE AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:FORT EDWARD
Practice Address - State:NY
Practice Address - Zip Code:12828-1134
Practice Address - Country:US
Practice Address - Phone:518-746-3310
Practice Address - Fax:518-746-3319
Is Sole Proprietor?:No
Enumeration Date:2011-11-15
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY008151-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist