Provider Demographics
NPI:1316970155
Name:SCHROEDER, SARAH ASHLEY (MSCCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ASHLEY
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:MSCCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2107 SE 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-5118
Mailing Address - Country:US
Mailing Address - Phone:352-732-7269
Mailing Address - Fax:352-732-3867
Practice Address - Street 1:2107 SE 3RD AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-5118
Practice Address - Country:US
Practice Address - Phone:352-732-7269
Practice Address - Fax:352-732-3867
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 4998235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist