Basic Information
| Provider Information | |||||||||
| NPI: | 1295144053 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHIEFERDECKER | ||||||||
| FirstName: | CARLI | ||||||||
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| Credential: | M.S., SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2451 CORAL CT | ||||||||
| Address2: | |||||||||
| City: | CORALVILLE | ||||||||
| State: | IA | ||||||||
| PostalCode: | 522412837 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3198530596 | ||||||||
| FaxNumber: | 3198530983 | ||||||||
| Practice Location | |||||||||
| Address1: | 865 LINCOLN RD | ||||||||
| Address2: | STE L10 | ||||||||
| City: | BETTENDORF | ||||||||
| State: | IA | ||||||||
| PostalCode: | 527224190 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5633559200 | ||||||||
| FaxNumber: | 5633553419 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/06/2014 | ||||||||
| LastUpdateDate: | 08/06/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 073968 | IA | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.