Provider Demographics
NPI:1174279939
Name:SCHARTZ, NAOMI RUTH (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:NAOMI
Middle Name:RUTH
Last Name:SCHARTZ
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 1:1200 NW SOUTH OUTER RD STE 316
Mailing Address - Street 2:
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64015-3059
Mailing Address - Country:US
Mailing Address - Phone:816-686-7621
Mailing Address - Fax:
Practice Address - Street 1:1200 NW SOUTH OUTER RD STE 316
Practice Address - Street 2:
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64015-3059
Practice Address - Country:US
Practice Address - Phone:816-686-7621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-01
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2018030809235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist