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NPI Code Detail

MEDICARE: SHELBY SCHOMERUS M.S. CCC-SLP

MEDICARE: SHELBY SCHOMERUS 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
1235Z00000XSpeech-Language Pathologist1840NE

General Provider Information

NPI Number : 1306213673
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELBY SCHOMERUS M.S. CCC-SLP
Provider Business Mailing Address
First Line : 6420 MONARCH DR
Second Line :
City : LINCOLN
State : NE
Zip : 68516-6417
Country : US
Telephone Number : 402-641-7291
Fax Number :
Provider Business Practice Location Address
First Line : 3805 25TH ST
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-2233
Country : US
Telephone Number : 402-942-1329
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2015
Last Update Date : 05/23/2019

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Directions to “ SHELBY SCHOMERUS M.S. CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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