Provider Demographics
NPI:1790496768
Name:SCHMIDT, MARIA FAERBER
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:FAERBER
Last Name:SCHMIDT
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 1:2524 S 100 W
Mailing Address - Street 2:
Mailing Address - City:BOUNTIFUL
Mailing Address - State:UT
Mailing Address - Zip Code:84010-6421
Mailing Address - Country:US
Mailing Address - Phone:801-831-1608
Mailing Address - Fax:
Practice Address - Street 1:2524 S 100 W
Practice Address - Street 2:
Practice Address - City:BOUNTIFUL
Practice Address - State:UT
Practice Address - Zip Code:84010-6421
Practice Address - Country:US
Practice Address - Phone:801-831-1608
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-09
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT10962369-1402OtherSTATE OF UTAH DEPARTMENT OF COMMERCE, DOPL