Provider Demographics
NPI:1972862928
Name:SCHAFER, LINDA M
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:M
Last Name:SCHAFER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:M
Other - Last Name:SCHAFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:316 PHYSICS RD. MICHIGAN STATE UNIVERSITY
Mailing Address - Street 2:ROOM 151
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48824
Mailing Address - Country:US
Mailing Address - Phone:517-355-9564
Mailing Address - Fax:517-353-5437
Practice Address - Street 1:316 PHYSICS RD. MICHIGAN STATE UNIVERSITY
Practice Address - Street 2:ROOM 151
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48824-1116
Practice Address - Country:US
Practice Address - Phone:517-355-9564
Practice Address - Fax:517-353-5437
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-11
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI00948190235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist