Basic Information
| Provider Information | |||||||||
| NPI: | 1588702161 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHOONOVER | ||||||||
| FirstName: | CARLA | ||||||||
| MiddleName: | LEWIS | ||||||||
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| Credential: | CCC-SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1942 WINDWAY RD | ||||||||
| Address2: | |||||||||
| City: | AUBURN | ||||||||
| State: | AL | ||||||||
| PostalCode: | 368307250 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3348877608 | ||||||||
| FaxNumber: | 3348877608 | ||||||||
| Practice Location | |||||||||
| Address1: | 1601 PROFESSIONAL PKWY | ||||||||
| Address2: | |||||||||
| City: | AUBURN | ||||||||
| State: | AL | ||||||||
| PostalCode: | 368301826 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8006036046 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/03/2007 | ||||||||
| LastUpdateDate: | 04/05/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/05/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 2205 | AL | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.