Andrew Williams Schmidt
Individual provider Active NPI Speech-Language Pathologist · Lyle, WA
NPI 1821822644 · NPPES record last updated Aug 26, 2024
Key facts
- NPI
- 1821822644
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLPI.SI.61583739 (WA)
- Practice address
- 625 Keasey Ave
Lyle, WA 98635-9052 - Phone
- (509) 365-2211
- NPI assigned
- Aug 26, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLPI.SI.61583739 | WA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLPI.SI.61583739 | WA | Yes |
Addresses
Primary practice location
625 Keasey Ave
Lyle, WA 98635-9052
Mailing address
2500 NE 65TH Ave
Vancouver, WA 98661-6812
Other providers in Lyle, WA
All providers in Lyle, WA · Speech-Language Pathologist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.