Healthcare Provider Details

I. General information

NPI: 1104452390
Provider Name (Legal Business Name): EMILY HULL SCHMIDT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2020
Last Update Date: 03/19/2020
Certification Date: 03/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 N OAKDALE AVE STE 300
SALINA KS
67401-3001
US

IV. Provider business mailing address

155 N OAKDALE AVE STE 300
SALINA KS
67401-3001
US

V. Phone/Fax

Practice location:
  • Phone: 785-452-6050
  • Fax:
Mailing address:
  • Phone: 785-452-6050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2212
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: