Provider Demographics
NPI:1871896282
Name:SCHMITT, JENNIFER (MA CCC-SLP/L)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:SCHMITT
Suffix:
Gender:F
Credentials:MA CCC-SLP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23960 S ROBERTS ST
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:IL
Mailing Address - Zip Code:60442-8457
Mailing Address - Country:US
Mailing Address - Phone:847-309-8836
Mailing Address - Fax:
Practice Address - Street 1:23960 S ROBERTS ST
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:IL
Practice Address - Zip Code:60442-8457
Practice Address - Country:US
Practice Address - Phone:847-309-8836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-08
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146009909235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist