Provider Demographics
NPI:1609031848
Name:SCHOCH, JAIME (MED, CCC-A)
Entity Type:Individual
Prefix:
First Name:JAIME
Middle Name:
Last Name:SCHOCH
Suffix:
Gender:F
Credentials:MED, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E LANCASTER AVE
Mailing Address - Street 2:SUITE 33 LANKENAU MEDICAL BUILDING WEST
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-3450
Mailing Address - Country:US
Mailing Address - Phone:610-896-6800
Mailing Address - Fax:610-896-5627
Practice Address - Street 1:100 E LANCASTER AVE
Practice Address - Street 2:SUITE 33 LANKENAU MEDICAL BUILDING WEST
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-3450
Practice Address - Country:US
Practice Address - Phone:610-896-6800
Practice Address - Fax:610-896-5627
Is Sole Proprietor?:No
Enumeration Date:2008-07-28
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT005832231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1366484743Medicare PIN
PA1811924830Medicare PIN
PA1861539470Medicare PIN
1962439000Medicare PIN