Provider Demographics
NPI:1669624847
Name:SCHWAB, ANN LEAH
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:LEAH
Last Name:SCHWAB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:LEAH
Other - Last Name:SCHWAB
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SPEECH PATHOLOGIST
Mailing Address - Street 1:10789 CHURCHILL PL
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92782-1366
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2089 VIEW POINT RD
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86303-5097
Practice Address - Country:US
Practice Address - Phone:714-731-1207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-19
Last Update Date:2008-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5821235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist