Healthcare Provider Details

I. General information

NPI: 1508586728
Provider Name (Legal Business Name): HANNA SCHMITZ M.S. CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2022
Last Update Date: 08/29/2022
Certification Date: 08/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7390 W EASTMAN PL
LAKEWOOD CO
80227-5039
US

IV. Provider business mailing address

7390 W EASTMAN PL
LAKEWOOD CO
80227-5039
US

V. Phone/Fax

Practice location:
  • Phone: 303-988-2848
  • Fax:
Mailing address:
  • Phone: 860-377-7145
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number0004705
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: