Provider Demographics
NPI:1104618503
Name:SCHAUB, EMILEE
Entity type:Individual
Prefix:
First Name:EMILEE
Middle Name:
Last Name:SCHAUB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3650 FAWN COVE LN APT 12
Mailing Address - Street 2:
Mailing Address - City:PORTAGE
Mailing Address - State:MI
Mailing Address - Zip Code:49024-3713
Mailing Address - Country:US
Mailing Address - Phone:616-402-9062
Mailing Address - Fax:
Practice Address - Street 1:3650 FAWN COVE LN APT 12
Practice Address - Street 2:
Practice Address - City:PORTAGE
Practice Address - State:MI
Practice Address - Zip Code:49024-3713
Practice Address - Country:US
Practice Address - Phone:616-402-9062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7152001124235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist