Provider Demographics
NPI:1841917754
Name:SCHMIDT, ELISABETH MARIE RAMIREZ (MS CCC/SLP)
Entity type:Individual
Prefix:
First Name:ELISABETH
Middle Name:MARIE RAMIREZ
Last Name:SCHMIDT
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 1:1515 N JIM MILLER RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75217-1319
Mailing Address - Country:US
Mailing Address - Phone:214-998-8617
Mailing Address - Fax:
Practice Address - Street 1:1515 N JIM MILLER RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75217-1319
Practice Address - Country:US
Practice Address - Phone:214-998-8617
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-21
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX105333235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX105333Medicaid