Provider Demographics
NPI:1598028359
Name:SCHMIDT, BARBARA TERESA (PHD/, CCC-SLP)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:TERESA
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:PHD/, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 JACKSON AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-3110
Mailing Address - Country:US
Mailing Address - Phone:516-764-3440
Mailing Address - Fax:
Practice Address - Street 1:32 JACKSON AVE
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-3110
Practice Address - Country:US
Practice Address - Phone:516-764-3440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-18
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004665-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist