Provider Demographics
NPI:1093140147
Name:SCHAMACH, ALLYSON LYNN (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ALLYSON
Middle Name:LYNN
Last Name:SCHAMACH
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:MISS
Other - First Name:ALLYSON
Other - Middle Name:LYNN
Other - Last Name:TODD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:20-25 CARLTON PL
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-2701
Mailing Address - Country:US
Mailing Address - Phone:609-290-6219
Mailing Address - Fax:
Practice Address - Street 1:20-25 CARLTON PL
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-2701
Practice Address - Country:US
Practice Address - Phone:609-290-6219
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-09
Last Update Date:2013-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00701800235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist