Individual
JENNIFER ELISE SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2500 W REYNOLDS ST, PONTIAC, IL 61764-9774
(815) 842-2828
Mailing address
2500 W REYNOLDS ST, PONTIAC, IL 61764-9774
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12061937
ASHA
IL
05
—
370662570-65
—
IL
Enumeration date
05/03/2007
Last updated
07/09/2007
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