Provider Demographics
NPI:1013137843
Name:SCHNIPPER, PHILIP (CCC-SLP)
Entity Type:Individual
Prefix:MR
First Name:PHILIP
Middle Name:
Last Name:SCHNIPPER
Suffix:
Gender:M
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:HULL
Mailing Address - State:MA
Mailing Address - Zip Code:02045-2044
Mailing Address - Country:US
Mailing Address - Phone:781-925-2111
Mailing Address - Fax:
Practice Address - Street 1:2 MAPLE ST
Practice Address - Street 2:
Practice Address - City:HULL
Practice Address - State:MA
Practice Address - Zip Code:02045-2044
Practice Address - Country:US
Practice Address - Phone:781-925-2111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3821235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist