Tonya Kay Schrader, MS CCC SLP
Individual provider Active NPI Speech-Language Pathologist · Watertown, MN
NPI 1811091176 · NPPES record last updated Jul 17, 2007
Key facts
- NPI
- 1811091176
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 7578 (MN)
- Practice address
- 204 Lewis Ave S
Suite 104
Watertown, MN 55388-4500 - Phone
- (952) 955-3323
- Fax
- (952) 255-8075
- NPI assigned
- Sep 8, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7578 | MN | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7578 | MN | Yes |
Addresses
Primary practice location
204 Lewis Ave S
Suite 104
Watertown, MN 55388-4500
Mailing address
204 Lewis Ave S
Suite 104
Watertown, MN 55388-4500
Phone (952) 955-3323
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46-01122 | Other | MN | MEDICA |
| C08611048584 | Other | MN | PREFERRED ONE |
| 030N8SC | Other | MN | BCBS |
Other providers in Watertown, MN
- Christian Laurits Nielsen
- Kristin J Olson
- Ridgeview Clinics
- Rosemary Louise Rosdahl
- Ryan Goetz, P.a.
- Molli Sherman
- Rebecca L Siffring
- Lea M Sterling
- Todd a Brewer DDS PLLC
- Mike Gene Trom
All providers in Watertown, MN · Speech-Language Pathologist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2007. 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.