MEDICARE: JENNIFER JO SCHNEIDER 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	1706	KS

General Provider Information

NPI Number	:	1851506612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER JO SCHNEIDER SLP

Provider Business Mailing Address
First Line	:	422 S LINCOLN ST
Second Line	:
City	:	MARION
State	:	KS
Zip	:	66861-1444
Country	:	US
Telephone Number	:	620-381-1265
Fax Number	:

Provider Business Practice Location Address
First Line	:	422 S LINCOLN ST
Second Line	:
City	:	MARION
State	:	KS
Zip	:	66861-1444
Country	:	US
Telephone Number	:	620-381-1265
Fax Number	:

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

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	02/23/2015

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