Provider Demographics
NPI:1952590010
Name:SCHNEIDER, SARAH L (MS, CCC)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:L
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:MS, CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1133 RANKIN ST
Mailing Address - Street 2:SUITE 221
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55116-3141
Mailing Address - Country:US
Mailing Address - Phone:651-222-7768
Mailing Address - Fax:651-698-8994
Practice Address - Street 1:1133 RANKIN ST
Practice Address - Street 2:SUITE 221
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55116-3141
Practice Address - Country:US
Practice Address - Phone:651-222-7768
Practice Address - Fax:651-698-8994
Is Sole Proprietor?:No
Enumeration Date:2007-10-15
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN8065235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist