Provider Demographics
NPI:1245424670
Name:SCHOENBERG, RENA D (M A, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:RENA
Middle Name:D
Last Name:SCHOENBERG
Suffix:
Gender:F
Credentials:M A, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1265 RAVENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36207-1721
Mailing Address - Country:US
Mailing Address - Phone:256-239-1335
Mailing Address - Fax:
Practice Address - Street 1:1265 RAVENWOOD DR
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207-1721
Practice Address - Country:US
Practice Address - Phone:256-239-1335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL099235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist