Provider Demographics
NPI:1003972258
Name:SCHUMACHER, LEANNE SCHOEN (MA CCC-SLP)
Entity type:Individual
Prefix:
First Name:LEANNE
Middle Name:SCHOEN
Last Name:SCHUMACHER
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 1:4885 NARCISSUS LN N
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55446-2892
Mailing Address - Country:US
Mailing Address - Phone:763-478-8805
Mailing Address - Fax:
Practice Address - Street 1:9048 PEONY LN N
Practice Address - Street 2:
Practice Address - City:MAPLE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55311-4417
Practice Address - Country:US
Practice Address - Phone:763-416-9313
Practice Address - Fax:763-416-4530
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7739235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN272L7SCOtherBLUE CROSS BLUE SHIELD
MN46-00951OtherMEDICA