MEDICARE: VICTORIA DUFOUR SCHREIBER

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

General Provider Information

NPI Number	:	1497238430
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA DUFOUR SCHREIBER

Provider Business Mailing Address
First Line	:	3180 PROFESSIONAL PLZ
Second Line	:
City	:	GERMANTOWN
State	:	TN
Zip	:	38138-1515
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3180 PROFESSIONAL PLZ STE 101
Second Line	:
City	:	GERMANTOWN
State	:	TN
Zip	:	38138-1534
Country	:	US
Telephone Number	:	901-328-2110
Fax Number	:

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

Provider Enumeration Date	:	09/14/2018
Last Update Date	:	09/14/2018

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Directions to “ VICTORIA DUFOUR SCHREIBER ” Practice Location

Language	Start Address	Practice Location

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