Provider Demographics
NPI:1831491844
Name:SCHOENFELD, ALYSON MCDONALD (MS CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:ALYSON
Middle Name:MCDONALD
Last Name:SCHOENFELD
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3865 TAMPA RD
Mailing Address - Street 2:
Mailing Address - City:OLDSMAR
Mailing Address - State:FL
Mailing Address - Zip Code:34677-3008
Mailing Address - Country:US
Mailing Address - Phone:813-855-4661
Mailing Address - Fax:813-854-2129
Practice Address - Street 1:3865 TAMPA RD
Practice Address - Street 2:
Practice Address - City:OLDSMAR
Practice Address - State:FL
Practice Address - Zip Code:34677-3008
Practice Address - Country:US
Practice Address - Phone:813-855-4661
Practice Address - Fax:813-854-2129
Is Sole Proprietor?:No
Enumeration Date:2010-11-23
Last Update Date:2014-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 12037235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist