Provider Demographics
NPI:1376979732
Name:SCHULTE, SAMANTHA JEAN (MA, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:SAMANTHA
Middle Name:JEAN
Last Name:SCHULTE
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 1:12524 39TH AVE
Mailing Address - Street 2:
Mailing Address - City:PLEASANT PRAIRIE
Mailing Address - State:WI
Mailing Address - Zip Code:53158-4200
Mailing Address - Country:US
Mailing Address - Phone:262-496-2829
Mailing Address - Fax:
Practice Address - Street 1:1288 STONEHAVEN CIR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-8409
Practice Address - Country:US
Practice Address - Phone:630-585-0552
Practice Address - Fax:630-429-9411
Is Sole Proprietor?:No
Enumeration Date:2013-09-17
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146011808235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist