Provider Demographics
NPI:1932591401
Name:SCHERBER, CONNIE JEANE
Entity Type:Individual
Prefix:MS
First Name:CONNIE
Middle Name:JEANE
Last Name:SCHERBER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3512 N SHORE DR
Mailing Address - Street 2:
Mailing Address - City:CLEAR LAKE
Mailing Address - State:IA
Mailing Address - Zip Code:50428-1019
Mailing Address - Country:US
Mailing Address - Phone:641-357-3195
Mailing Address - Fax:
Practice Address - Street 1:3512 N SHORE DR
Practice Address - Street 2:
Practice Address - City:CLEAR LAKE
Practice Address - State:IA
Practice Address - Zip Code:50428-1019
Practice Address - Country:US
Practice Address - Phone:641-357-3195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-20
Last Update Date:2015-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00385235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist