Healthcare Provider Details

I. General information

NPI: 1225631898
Provider Name (Legal Business Name): MRS. KERI MICHELLE SCHUMACHER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2020
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9245 LAGUNA SPRINGS DR STE 200
ELK GROVE CA
95758-7991
US

IV. Provider business mailing address

3587 PRESTWICK CIR
OCEANSIDE CA
92056-4932
US

V. Phone/Fax

Practice location:
  • Phone: 914-377-5655
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number14683
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: