Provider Demographics
NPI:1700047529
Name:SCHMOLL, JULIANE (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JULIANE
Middle Name:
Last Name:SCHMOLL
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 1:10 E. WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:ATLANTIC HIGHLANDS
Mailing Address - State:NJ
Mailing Address - Zip Code:07716-1227
Mailing Address - Country:US
Mailing Address - Phone:646-319-2611
Mailing Address - Fax:
Practice Address - Street 1:10 E. WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:ATLANTIC HIGHLANDS
Practice Address - State:NJ
Practice Address - Zip Code:07716-1227
Practice Address - Country:US
Practice Address - Phone:646-319-2611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-24
Last Update Date:2011-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012089235Z00000X
NJ41YS00561700235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist