Provider Demographics
NPI:1770781510
Name:SCHMIDT, SHARLENE ROXANNE (MS)
Entity type:Individual
Prefix:MRS
First Name:SHARLENE
Middle Name:ROXANNE
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 HEATHER LN
Mailing Address - Street 2:
Mailing Address - City:GLASGOW
Mailing Address - State:MT
Mailing Address - Zip Code:59230-2005
Mailing Address - Country:US
Mailing Address - Phone:406-228-8487
Mailing Address - Fax:
Practice Address - Street 1:621 3RD ST S
Practice Address - Street 2:2ND FLOOR
Practice Address - City:GLASGOW
Practice Address - State:MT
Practice Address - Zip Code:59230-2604
Practice Address - Country:US
Practice Address - Phone:406-228-3500
Practice Address - Fax:406-228-3689
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT329237600000X
MTSLP-AU-LIC-958231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0533103Medicaid
MT0561510Medicaid