Healthcare Provider Details

I. General information

NPI: 1508931411
Provider Name (Legal Business Name): SARAH S SCHNEIDER MS, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/24/2006
Last Update Date: 07/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

INTERSECTION RTS. 4 AND 12
TAFTSVILLE VT
05073
US

IV. Provider business mailing address

55 EVENCHANCE RD
ENFIELD NH
03748-4170
US

V. Phone/Fax

Practice location:
  • Phone: 802-457-4487
  • Fax: 802-457-9428
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number1095
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: