Provider Demographics
NPI:1093968885
Name:SCHAFFAN, CRISTY (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CRISTY
Middle Name:
Last Name:SCHAFFAN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4124 W SAINT LOUIS ST
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57702-2148
Mailing Address - Country:US
Mailing Address - Phone:605-206-0495
Mailing Address - Fax:
Practice Address - Street 1:4124 W SAINT LOUIS ST
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57702-2148
Practice Address - Country:US
Practice Address - Phone:605-206-0495
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-24
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist