Provider Demographics
NPI:1316180516
Name:SCHMIDT, SUSAN LEIGH
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:LEIGH
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:955 WATER ST
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72501-3455
Mailing Address - Country:US
Mailing Address - Phone:870-793-7498
Mailing Address - Fax:870-698-9829
Practice Address - Street 1:955 WATER ST
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:AR
Practice Address - Zip Code:72501-3455
Practice Address - Country:US
Practice Address - Phone:870-793-7498
Practice Address - Fax:870-698-9829
Is Sole Proprietor?:No
Enumeration Date:2009-04-17
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist