Provider Demographics
NPI:1518189232
Name:SCHLEGEL, RITA (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:
Last Name:SCHLEGEL
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 GOOSE ROCKS RD
Mailing Address - Street 2:
Mailing Address - City:KENNEBUNKPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04046-5304
Mailing Address - Country:US
Mailing Address - Phone:207-967-0537
Mailing Address - Fax:
Practice Address - Street 1:317 GOOSE ROCKS RD
Practice Address - Street 2:
Practice Address - City:KENNEBUNKPORT
Practice Address - State:ME
Practice Address - Zip Code:04046-5304
Practice Address - Country:US
Practice Address - Phone:207-967-0537
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MESP380235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist