Provider Demographics
NPI:1659495646
Name:SCHOEN, CONSTANCE MARIE (MS)
Entity Type:Individual
Prefix:MS
First Name:CONSTANCE
Middle Name:MARIE
Last Name:SCHOEN
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 1:2832 SUGAR PINE CIR
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-6433
Mailing Address - Country:US
Mailing Address - Phone:847-770-1338
Mailing Address - Fax:
Practice Address - Street 1:2832 SUGAR PINE CIR
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-6433
Practice Address - Country:US
Practice Address - Phone:847-770-1338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist