Provider Demographics
NPI:1558499871
Name:SCHMAUDER, JANESSA THORNTON (MS CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:JANESSA
Middle Name:THORNTON
Last Name:SCHMAUDER
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 1:6703 S BELL ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98408-7318
Mailing Address - Country:US
Mailing Address - Phone:253-304-5655
Mailing Address - Fax:
Practice Address - Street 1:6703 S BELL ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98408-7318
Practice Address - Country:US
Practice Address - Phone:253-304-5655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2015-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL00004244235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist