Individual
COURTNEY SCHROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1715 S HUBERT AVE, TAMPA, FL 33629-5614
(904) 553-8549
Mailing address
1715 S HUBERT AVE, TAMPA, FL 33629-5614
(904) 553-8549
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
SA11964
FL
235Z00000X
Speech-Language Pathologist
SZ5600
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004111100
—
FL
05
—
014701900
—
FL
Enumeration date
09/23/2011
Last updated
08/17/2016
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