Provider Demographics
NPI:1972840577
Name:SCHMIDT, ANNETTE M (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ANNETTE
Middle Name:M
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14605 HARVEY OAKS AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-2137
Mailing Address - Country:US
Mailing Address - Phone:402-699-6846
Mailing Address - Fax:
Practice Address - Street 1:7410 MERCY RD
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-2317
Practice Address - Country:US
Practice Address - Phone:402-397-1220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE885235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist