Provider Demographics
NPI:1396984209
Name:SCHLICHER, DONNA M
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:M
Last Name:SCHLICHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 46
Mailing Address - Street 2:
Mailing Address - City:SILEX
Mailing Address - State:MO
Mailing Address - Zip Code:63377-0046
Mailing Address - Country:US
Mailing Address - Phone:573-384-5227
Mailing Address - Fax:573-384-5996
Practice Address - Street 1:64 HIGHWAY UU
Practice Address - Street 2:
Practice Address - City:SILEX
Practice Address - State:MO
Practice Address - Zip Code:63377-2231
Practice Address - Country:US
Practice Address - Phone:573-384-5227
Practice Address - Fax:573-384-5996
Is Sole Proprietor?:No
Enumeration Date:2009-02-17
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000154590235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist