Provider Demographics
NPI:1417410499
Name:SCHULMAN, ROBERTA ANN (SLP)
Entity Type:Individual
Prefix:DR
First Name:ROBERTA
Middle Name:ANN
Last Name:SCHULMAN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2307 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-5626
Mailing Address - Country:US
Mailing Address - Phone:443-956-5694
Mailing Address - Fax:
Practice Address - Street 1:2307 RIDGE RD
Practice Address - Street 2:
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-5626
Practice Address - Country:US
Practice Address - Phone:443-956-5694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-08
Last Update Date:2019-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01425235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist