Provider Demographics
NPI:1942532320
Name:SCHAUMANN, DAVE
Entity Type:Individual
Prefix:
First Name:DAVE
Middle Name:
Last Name:SCHAUMANN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2839 OLD MILL WAY
Mailing Address - Street 2:
Mailing Address - City:CRESTVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:32539-6302
Mailing Address - Country:US
Mailing Address - Phone:920-279-0893
Mailing Address - Fax:
Practice Address - Street 1:2839 OLD MILL WAY
Practice Address - Street 2:
Practice Address - City:CRESTVIEW
Practice Address - State:FL
Practice Address - Zip Code:32539-6302
Practice Address - Country:US
Practice Address - Phone:920-279-0893
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-09
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX141457235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist