Provider Demographics
NPI:1740959071
Name:SCHROEDER, ASHLEY HENDERSON (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:HENDERSON
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16718 DESTREHAN DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-6985
Mailing Address - Country:US
Mailing Address - Phone:225-931-0567
Mailing Address - Fax:
Practice Address - Street 1:11001 CRESCENT MOON DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77064-4024
Practice Address - Country:US
Practice Address - Phone:281-477-8877
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-09
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104935235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist