Abigail Lynn Schroeder, MS, CCC-SLP/L
Individual provider Active NPI Speech-Language Pathologist · Dakota, IL
NPI 1699281964 · NPPES record last updated Dec 21, 2017
Key facts
- NPI
- 1699281964
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 146.12182 (IL)
- Practice address
- 400 Campus Dr
Dakota, IL 61018-9803 - Phone
- (844) 632-5682
- NPI assigned
- Dec 21, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.12182 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dakota Community Unit School District 201 | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146.12182 | IL | Yes |
Addresses
Primary practice location
400 Campus Dr
Dakota, IL 61018-9803
Mailing address
9815 W Raders Rd
Pearl City, IL 61062-9737
Phone (815) 291-4855
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146.012182 | Other | IL | STATE OF ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATIONS SPEECH LA |
Other providers in Dakota, IL
All providers in Dakota, IL · Speech-Language Pathologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.