Provider Demographics
NPI:1861644585
Name:SCHROEDER, SHARON D (MA, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:D
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2243 STRATFORD RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-1920
Mailing Address - Country:US
Mailing Address - Phone:804-320-6496
Mailing Address - Fax:
Practice Address - Street 1:2243 STRATFORD RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-1920
Practice Address - Country:US
Practice Address - Phone:804-320-6496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-13
Last Update Date:2008-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202004175235Z00000X
NJ41YS00364000235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist