Provider Demographics
NPI:1669429338
Name:SCHMISSEUR, BROOKE EVETTE BARNARD (AUD, CCC-A)
Entity type:Individual
Prefix:DR
First Name:BROOKE
Middle Name:EVETTE BARNARD
Last Name:SCHMISSEUR
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19465 DEERFIELD AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LANSDOWNE
Mailing Address - State:VA
Mailing Address - Zip Code:20176-1701
Mailing Address - Country:US
Mailing Address - Phone:703-858-7620
Mailing Address - Fax:703-858-7657
Practice Address - Street 1:19465 DEERFIELD AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:LANSDOWNE
Practice Address - State:VA
Practice Address - Zip Code:20176-1701
Practice Address - Country:US
Practice Address - Phone:703-858-7620
Practice Address - Fax:703-858-7657
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA2101001481237600000X, 237700000X
VA2201001195231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA008010B59Medicare ID - Type UnspecifiedMEDICARE NUMBER