MEDICARE: EMILEE SCHAUB CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	7152001124	MI

General Provider Information

NPI Number	:	1104618503
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILEE SCHAUB CCC-SLP

Provider Business Mailing Address
First Line	:	3650 FAWN COVE LN APT 12
Second Line	:
City	:	PORTAGE
State	:	MI
Zip	:	49024-3713
Country	:	US
Telephone Number	:	616-402-9062
Fax Number	:

Provider Business Practice Location Address
First Line	:	3650 FAWN COVE LN APT 12
Second Line	:
City	:	PORTAGE
State	:	MI
Zip	:	49024-3713
Country	:	US
Telephone Number	:	616-402-9062
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2025
Last Update Date	:	02/16/2026

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Directions to “ EMILEE SCHAUB CCC-SLP” Practice Location

Language	Start Address	Practice Location

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