Provider Demographics
NPI:1750470464
Name:SCHROEDER, CAROL Y (AUD, CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:Y
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1205 SEBRING LN
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40513-1818
Mailing Address - Country:US
Mailing Address - Phone:859-219-1141
Mailing Address - Fax:859-219-1141
Practice Address - Street 1:1205 SEBRING LN
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40513-1818
Practice Address - Country:US
Practice Address - Phone:859-219-1141
Practice Address - Fax:859-219-1141
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0309231H00000X
KY0754231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist