Russell Schmidt, Amanda Brooke

Russell Schmidt, Amanda Brooke is an sole proprietor health care provider with primary practice located at 1 Norma Ln , Kings Park NY 11754-4520. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Russell Schmidt, Amanda Brooke can be contacted via phone (631) 292-2658.

Contact Information

Primary practice address
1 Norma Ln Kings Park NY 11754-4520
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 019074-1 New York

Profile Details

NPI number 1013270081
LBN Legal business name Russell Schmidt, Amanda Brooke
Credentials M.A. CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2012
Last updated Jun 24th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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