Provider Demographics
NPI:1275780835
Name:SCHUMAN, ERIN NOELLE (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:NOELLE
Last Name:SCHUMAN
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4910 COVINGTON RD
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46804-5033
Mailing Address - Country:US
Mailing Address - Phone:260-432-6118
Mailing Address - Fax:
Practice Address - Street 1:4910 COVINGTON RD
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46804-5033
Practice Address - Country:US
Practice Address - Phone:260-432-6118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-25
Last Update Date:2008-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22002955A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist