Provider Demographics
NPI:1528188976
Name:SCHLOEMER, TRACY ANN-VOLTIN (MS)
Entity Type:Individual
Prefix:MRS
First Name:TRACY
Middle Name:ANN-VOLTIN
Last Name:SCHLOEMER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1830 MAGNOLIA LN N
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55441-4024
Mailing Address - Country:US
Mailing Address - Phone:612-735-9990
Mailing Address - Fax:
Practice Address - Street 1:METHODIST HOSPITAL
Practice Address - Street 2:6500 EXCELSIOR BLVD
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55426
Practice Address - Country:US
Practice Address - Phone:952-993-5856
Practice Address - Fax:952-993-5585
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
12010073235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist