Provider Demographics
NPI:1285357335
Name:SCHROEDER, ASHLEY (SLP)
Entity type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2317 N CLARK ST APT 404
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-8483
Mailing Address - Country:US
Mailing Address - Phone:630-272-0122
Mailing Address - Fax:
Practice Address - Street 1:132 E PINE AVE
Practice Address - Street 2:
Practice Address - City:ROSELLE
Practice Address - State:IL
Practice Address - Zip Code:60172-2252
Practice Address - Country:US
Practice Address - Phone:630-894-0490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-23
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.017237235Z00000X
AZTSLP13908235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist