Individual
TYLEE SCHROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 N MAIN ST, AINSWORTH, NE 69210-1353
(402) 387-1420
Mailing address
207 N MAIN ST, AINSWORTH, NE 69210-1353
(402) 387-1420
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PENDING
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NE
Enumeration date
08/25/2021
Last updated
08/25/2021
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