Healthcare Provider Details

I. General information

NPI: 1124974738
Provider Name (Legal Business Name): EMILY SCHOENECKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2026
Last Update Date: 03/06/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

271 US-63
SHELL LAKE WI
54871
US

IV. Provider business mailing address

2172 12TH AVE
CAMERON WI
54822-8519
US

V. Phone/Fax

Practice location:
  • Phone: 715-468-7816
  • Fax:
Mailing address:
  • Phone: 715-790-1009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number884425
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: