Provider Demographics
NPI:1467148155
Name:TAYLOR-SCHROEDER, SHELBY NICOLE
Entity Type:Individual
Prefix:MRS
First Name:SHELBY
Middle Name:NICOLE
Last Name:TAYLOR-SCHROEDER
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:SHELBY
Other - Middle Name:NICOLE
Other - Last Name:GRIMM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1723 TYLER PKWY # 1
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40204-1535
Mailing Address - Country:US
Mailing Address - Phone:812-202-8596
Mailing Address - Fax:
Practice Address - Street 1:1723 TYLER PKWY # 1
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40204-1535
Practice Address - Country:US
Practice Address - Phone:812-202-8596
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-14
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist