Provider Demographics
NPI:1568619666
Name:SCHROEDER, AMBER KAY (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:KAY
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:KAY
Other - Last Name:REDIGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:5356 BELLE STAR DR.
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80922-3610
Mailing Address - Country:US
Mailing Address - Phone:719-299-2275
Mailing Address - Fax:
Practice Address - Street 1:5356 BELLE STAR DR.
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80922-3610
Practice Address - Country:US
Practice Address - Phone:719-299-2275
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-20
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COSLP.0001235235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist