Provider Demographics
NPI:1174412779
Name:SCHROEDER, DESSIRA (DOULA)
Entity type:Individual
Prefix:
First Name:DESSIRA
Middle Name:
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2708 C ST APT 9
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-3272
Mailing Address - Country:US
Mailing Address - Phone:916-821-8069
Mailing Address - Fax:
Practice Address - Street 1:2708 C ST APT 9
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-3272
Practice Address - Country:US
Practice Address - Phone:916-821-8069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA347J0000X374J00000X
CA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula