Healthcare Provider Details

I. General information

NPI: 1710049010
Provider Name (Legal Business Name): DEBORAH K SCHMIDT AUDIOLOGIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7055 ENGLE RD STE 404
CLEVELAND OH
44130-8403
US

IV. Provider business mailing address

2508 CRESTVIEW WOODS DR
NEWARK OH
43055-9280
US

V. Phone/Fax

Practice location:
  • Phone: 440-243-5914
  • Fax: 440-243-6530
Mailing address:
  • Phone: 740-587-4767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA1050
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: