MEDICARE: MRS. DANA LANN SCHNEPF

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	06086	MD

General Provider Information

NPI Number	:	1619430204
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DANA LANN SCHNEPF

Provider Business Mailing Address
First Line	:	1846 GLEN RIDGE RD
Second Line	:
City	:	TOWSON
State	:	MD
Zip	:	21286-8914
Country	:	US
Telephone Number	:	410-207-4794
Fax Number	:

Provider Business Practice Location Address
First Line	:	1846 GLEN RIDGE RD
Second Line	:
City	:	TOWSON
State	:	MD
Zip	:	21286-8914
Country	:	US
Telephone Number	:	410-207-4794
Fax Number	:

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

Provider Enumeration Date	:	04/10/2019
Last Update Date	:	04/10/2019

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Directions to “ MRS. DANA LANN SCHNEPF ” Practice Location

Language	Start Address	Practice Location

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