Individual
JESSICA ANN SCHAUER HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
294 W CARLOS AVE, HOLBROOK, AZ 86025-1846
(928) 755-1020
Mailing address
PO BOX 29, GANADO, AZ 86505-0029
(928) 755-3404
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
RPE4441
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPE4441
CALIFORNIA SLAB
CA
01
—
SLP5646
AZ STATE
AZ
Enumeration date
10/03/2007
Last updated
10/03/2007
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