Provider Demographics
NPI:1992368625
Name:SCHIEFER, STACIA LYNN (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:STACIA
Middle Name:LYNN
Last Name:SCHIEFER
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 1:991 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:IN
Mailing Address - Zip Code:47546-3701
Mailing Address - Country:US
Mailing Address - Phone:812-309-4086
Mailing Address - Fax:
Practice Address - Street 1:991 3RD AVE
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:IN
Practice Address - Zip Code:47546-3701
Practice Address - Country:US
Practice Address - Phone:812-309-4086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-18
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist