Provider Demographics
NPI:1811220239
Name:SCHAFF, KERRI H (MS, CCC-SLP, NL)
Entity type:Individual
Prefix:MRS
First Name:KERRI
Middle Name:H
Last Name:SCHAFF
Suffix:
Gender:F
Credentials:MS, CCC-SLP, NL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2209 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBLUFF
Mailing Address - State:NE
Mailing Address - Zip Code:69361-2104
Mailing Address - Country:US
Mailing Address - Phone:308-220-4156
Mailing Address - Fax:
Practice Address - Street 1:2209 6TH AVE
Practice Address - Street 2:
Practice Address - City:SCOTTSBLUFF
Practice Address - State:NE
Practice Address - Zip Code:69361-2104
Practice Address - Country:US
Practice Address - Phone:308-220-4156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-16
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE913235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist