Provider Demographics
NPI:1447419338
Name:SCHREIBER, MICHELLE LYN RENEE (SLP)
Entity type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:LYN RENEE
Last Name:SCHREIBER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3502 SOUTH UNIVERSITY DRIVE
Mailing Address - Street 2:FARGO PUBLIC SCHOOLS EAGLES EDUCATION CENTER
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104
Mailing Address - Country:US
Mailing Address - Phone:701-446-3900
Mailing Address - Fax:701-446-3999
Practice Address - Street 1:3502 SOUTH UNIVERSITY DRIVE
Practice Address - Street 2:FARGO PUBLIC SCHOOLS EAGLES EDUCATION CENTER
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104
Practice Address - Country:US
Practice Address - Phone:701-446-3900
Practice Address - Fax:701-446-3999
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND685235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist