Provider Demographics
NPI:1164804357
Name:SCHWAB, ELIZABETH (AUD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:
Last Name:SCHWAB
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:ELIZABETH
Other - Middle Name:
Other - Last Name:FALK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:3001 6TH AVE SE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401-5471
Mailing Address - Country:US
Mailing Address - Phone:605-725-4455
Mailing Address - Fax:605-725-4454
Practice Address - Street 1:3001 6TH AVE SE
Practice Address - Street 2:SUITE 2
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-5471
Practice Address - Country:US
Practice Address - Phone:605-725-4455
Practice Address - Fax:605-725-4454
Is Sole Proprietor?:No
Enumeration Date:2015-06-24
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD444-A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD5842900Medicaid