Provider Demographics
NPI:1447714050
Name:SCHUMACHER, MARILYN ELIZABETH (MA, CCC-SP)
Entity type:Individual
Prefix:
First Name:MARILYN
Middle Name:ELIZABETH
Last Name:SCHUMACHER
Suffix:
Gender:F
Credentials:MA, CCC-SP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 POMONA AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:CA
Mailing Address - Zip Code:94706-2337
Mailing Address - Country:US
Mailing Address - Phone:510-375-0594
Mailing Address - Fax:
Practice Address - Street 1:1322A SOLANO AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:CA
Practice Address - Zip Code:94706-1831
Practice Address - Country:US
Practice Address - Phone:510-375-0594
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-28
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP4673235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist