MEDICARE: THERESA SCHMELZER 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	SP7568	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	23-2446104	OTHER	OH	GENESIS

General Provider Information

NPI Number	:	1306077094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THERESA SCHMELZER SLP

Provider Business Mailing Address
First Line	:	8163 ASHGROVE DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45244-2703
Country	:	US
Telephone Number	:	513-237-1515
Fax Number	:

Provider Business Practice Location Address
First Line	:	8163 ASHGROVE DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45244-2703
Country	:	US
Telephone Number	:	513-237-1515
Fax Number	:

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

Provider Enumeration Date	:	07/29/2009
Last Update Date	:	07/21/2022

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Directions to “ THERESA SCHMELZER SLP” Practice Location

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