Provider Demographics
NPI:1730501966
Name:SCHUBERT, ANNE D
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:D
Last Name:SCHUBERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:760 WHALERS WAY
Mailing Address - Street 2:BLDG. C SUITE #100
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-2023
Mailing Address - Country:US
Mailing Address - Phone:970-495-1150
Mailing Address - Fax:970-495-0133
Practice Address - Street 1:760 WHALERS WAY
Practice Address - Street 2:BLDG. C SUITE #100
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-2023
Practice Address - Country:US
Practice Address - Phone:970-495-1150
Practice Address - Fax:970-495-0133
Is Sole Proprietor?:No
Enumeration Date:2014-01-07
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY772235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist