Provider Demographics
NPI:1528362282
Name:SCHROEDER, ASHLEY D (T-LPC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:D
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:T-LPC
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:BOHN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1000 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:EMPORIA
Mailing Address - State:KS
Mailing Address - Zip Code:66801-2449
Mailing Address - Country:US
Mailing Address - Phone:620-343-2211
Mailing Address - Fax:
Practice Address - Street 1:1115 WESTPORT DR STE D2
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-2871
Practice Address - Country:US
Practice Address - Phone:785-560-3101
Practice Address - Fax:785-200-3766
Is Sole Proprietor?:No
Enumeration Date:2011-01-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2227101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health