Provider Demographics
NPI:1487082483
Name:SCHMITTEL, DANE
Entity type:Individual
Prefix:
First Name:DANE
Middle Name:
Last Name:SCHMITTEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1760 W HORIZON RIDGE PKWY
Mailing Address - Street 2:#120
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-5000
Mailing Address - Country:US
Mailing Address - Phone:702-566-8255
Mailing Address - Fax:
Practice Address - Street 1:1760 W HORIZON RIDGE PKWY
Practice Address - Street 2:#120
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89012-5000
Practice Address - Country:US
Practice Address - Phone:702-566-8255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-29
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVSP-1519235Z00000X
CASP22375235Z00000X
MN10121235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist