Provider Demographics
NPI:1497844989
Name:SCHWALBE, SHARYN
Entity Type:Individual
Prefix:
First Name:SHARYN
Middle Name:
Last Name:SCHWALBE
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 1:7200 GRIFFIN RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33314-4144
Mailing Address - Country:US
Mailing Address - Phone:954-791-4460
Mailing Address - Fax:954-791-7670
Practice Address - Street 1:7200 GRIFFIN RD
Practice Address - Street 2:SUITE 3
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33314-4144
Practice Address - Country:US
Practice Address - Phone:954-791-4460
Practice Address - Fax:954-791-7670
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 5083235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL891027800Medicaid