Healthcare Provider Details

I. General information

NPI: 1538076070
Provider Name (Legal Business Name): ALLYSON SCHMUCK MS SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4525 CENTRAL SCHOOL RD
SAINT CHARLES MO
63304-7113
US

IV. Provider business mailing address

930 COLONIAL HILLS LN
SAINT CHARLES MO
63303-3849
US

V. Phone/Fax

Practice location:
  • Phone: 636-851-5625
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2026028966
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: