Provider Demographics
NPI:1295144053
Name:SCHIEFERDECKER, CARLI (MS, SLP)
Entity type:Individual
Prefix:
First Name:CARLI
Middle Name:
Last Name:SCHIEFERDECKER
Suffix:
Gender:F
Credentials:MS, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2451 CORAL CT
Mailing Address - Street 2:
Mailing Address - City:CORALVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52241-2837
Mailing Address - Country:US
Mailing Address - Phone:319-853-0596
Mailing Address - Fax:319-853-0983
Practice Address - Street 1:865 LINCOLN RD
Practice Address - Street 2:STE L10
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-4190
Practice Address - Country:US
Practice Address - Phone:563-355-9200
Practice Address - Fax:563-355-3419
Is Sole Proprietor?:No
Enumeration Date:2014-08-06
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA073968235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist