Provider Demographics
NPI:1912255985
Name:SCHAFER, AMANDA LEIGH ORECHKIN (MS CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:LEIGH ORECHKIN
Last Name:SCHAFER
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:LEIGH
Other - Last Name:ORECHKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6978 DUBLIN FAIR RD
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48098-2187
Mailing Address - Country:US
Mailing Address - Phone:248-909-8932
Mailing Address - Fax:
Practice Address - Street 1:6978 DUBLIN FAIR RD
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48098-2187
Practice Address - Country:US
Practice Address - Phone:248-909-8932
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-24
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7101007011235Z00000X
CA21096235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist