Provider Demographics
NPI:1811744667
Name:SCHUMACHER, CARRIE (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:
Last Name:SCHUMACHER
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:CARRIE
Other - Middle Name:
Other - Last Name:MILLARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:125 S BROADWAY ST # 1071
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:MT
Mailing Address - Zip Code:59741-2209
Mailing Address - Country:US
Mailing Address - Phone:406-274-3198
Mailing Address - Fax:
Practice Address - Street 1:125 S BROADWAY ST # 1071
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:MT
Practice Address - Zip Code:59741-2209
Practice Address - Country:US
Practice Address - Phone:406-274-3198
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-01
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTSLP-SP-LIC-1049235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist