Provider Demographics
NPI:1790955631
Name:SCHLICHENMAYER, NANCY SUE (HEARING AID DISPENSE)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:SUE
Last Name:SCHLICHENMAYER
Suffix:
Gender:F
Credentials:HEARING AID DISPENSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 6TH AVE SE
Mailing Address - Street 2:#8C
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401-5130
Mailing Address - Country:US
Mailing Address - Phone:605-725-4327
Mailing Address - Fax:605-725-4328
Practice Address - Street 1:2201 6TH AVE SE
Practice Address - Street 2:#8C
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-5130
Practice Address - Country:US
Practice Address - Phone:605-725-4327
Practice Address - Fax:605-725-4328
Is Sole Proprietor?:No
Enumeration Date:2008-03-06
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD344H237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist