Provider Demographics
NPI:1134445232
Name:SCHEBERGER, KRISTINE (MS,CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:KRISTINE
Middle Name:
Last Name:SCHEBERGER
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 1:514 CROSBY BLVD
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73110-2268
Mailing Address - Country:US
Mailing Address - Phone:405-990-0790
Mailing Address - Fax:405-359-9249
Practice Address - Street 1:12201 N WESTERN AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73114-8022
Practice Address - Country:US
Practice Address - Phone:405-752-5112
Practice Address - Fax:405-752-8963
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-14
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist