Provider Demographics
NPI:1386198554
Name:SCHMIDT, ALYSSA L
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:L
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 1:4075 EAST CAMPUS LOOP S
Mailing Address - Street 2:203A BARKLEY MEMORIAL CENTER
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68583-0731
Mailing Address - Country:US
Mailing Address - Phone:402-472-2071
Mailing Address - Fax:402-472-3814
Practice Address - Street 1:4075 EAST CAMPUS LOOP S
Practice Address - Street 2:203A BARKLEY MEMORIAL CENTER
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68583-0731
Practice Address - Country:US
Practice Address - Phone:402-472-2071
Practice Address - Fax:402-472-3814
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-05
Last Update Date:2023-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235Z00000X
NE2120235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist