MEDICARE: MISS ALEXA MEGAN SCHUSTER M.S., CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SA13347	FL
2	235Z00000X	Speech-Language Pathologist	SLP000884	DC

General Provider Information

NPI Number	:	1083097430
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS ALEXA MEGAN SCHUSTER M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	15028 LAKE EMERALD BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33618-1700
Country	:	US
Telephone Number	:	813-679-6242
Fax Number	:

Provider Business Practice Location Address
First Line	:	15028 LAKE EMERALD BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33618-1700
Country	:	US
Telephone Number	:	813-679-6242
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2015
Last Update Date	:	07/02/2015

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