MEDICARE: KATE E SCHJONEMAN 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	LL60668400	WA

General Provider Information

NPI Number	:	1417608928
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATE E SCHJONEMAN M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	PO BOX 1633
Second Line	:
City	:	ISSAQUAH
State	:	WA
Zip	:	98027-0065
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 E 3RD ST
Second Line	:
City	:	NORTH BEND
State	:	WA
Zip	:	98045-8201
Country	:	US
Telephone Number	:	425-831-8400
Fax Number	:

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

Provider Enumeration Date	:	01/16/2022
Last Update Date	:	01/16/2022

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Directions to “ KATE E SCHJONEMAN M.S. CCC-SLP” Practice Location

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