Provider Demographics
NPI:1548688617
Name:SCHROEDER, CHRISTINE A
Entity type:Individual
Prefix:MISS
First Name:CHRISTINE
Middle Name:A
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3396 CODFISH CT
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-0507
Mailing Address - Country:US
Mailing Address - Phone:727-858-3563
Mailing Address - Fax:727-239-4576
Practice Address - Street 1:3396 CODFISH CT
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34609-0507
Practice Address - Country:US
Practice Address - Phone:727-858-3563
Practice Address - Fax:727-239-4576
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-04
Last Update Date:2014-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS4913237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist