Provider Demographics
NPI:1518224393
Name:SCHAEFER, JILL DURKEE (MA)
Entity type:Individual
Prefix:MRS
First Name:JILL
Middle Name:DURKEE
Last Name:SCHAEFER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1991 CROCKER RD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-6969
Mailing Address - Country:US
Mailing Address - Phone:216-765-3377
Mailing Address - Fax:
Practice Address - Street 1:1991 CROCKER RD
Practice Address - Street 2:SUITE 600
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-6969
Practice Address - Country:US
Practice Address - Phone:216-765-3377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-18
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA. 01222231HA2400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner