Provider Demographics
NPI:1679655161
Name:SCHROEDER, DONNA MAE (MA CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:MAE
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:MA CCC SLP
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:M
Other - Last Name:KRASNY-SCHROEDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3916 N. TENTH AVE.
Mailing Address - Street 2:PEARL NELSON CHILD DEVELOPMENT CENTER
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503
Mailing Address - Country:US
Mailing Address - Phone:850-434-7755
Mailing Address - Fax:
Practice Address - Street 1:3916 N. TENTH AVE.
Practice Address - Street 2:PEARL NELSON CHILD DEVELOPMENT CENTER
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503
Practice Address - Country:US
Practice Address - Phone:850-434-7755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA7491235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist