Provider Demographics
NPI:1841574910
Name:SCHLUTER, JANA (MA)
Entity Type:Individual
Prefix:
First Name:JANA
Middle Name:
Last Name:SCHLUTER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14482 E FOX LAKE RD
Mailing Address - Street 2:
Mailing Address - City:DETROIT LAKES
Mailing Address - State:MN
Mailing Address - Zip Code:56501-7111
Mailing Address - Country:US
Mailing Address - Phone:320-333-7269
Mailing Address - Fax:
Practice Address - Street 1:14482 E FOX LAKE RD
Practice Address - Street 2:
Practice Address - City:DETROIT LAKES
Practice Address - State:MN
Practice Address - Zip Code:56501-7111
Practice Address - Country:US
Practice Address - Phone:320-333-7269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-06
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1876235Z00000X
MN470561235Z00000X
MN8873235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist