Provider Demographics
NPI:1710049010
Name:SCHMIDT, DEBORAH K (AUDIOLOGIST)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:K
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:AUDIOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2508 CRESTVIEW WOODS DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-9280
Mailing Address - Country:US
Mailing Address - Phone:740-587-4767
Mailing Address - Fax:
Practice Address - Street 1:7055 ENGLE RD STE 404
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44130-8403
Practice Address - Country:US
Practice Address - Phone:440-243-5914
Practice Address - Fax:440-243-6530
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA1050231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist