Healthcare Provider Details

I. General information

NPI: 1861310179
Provider Name (Legal Business Name): AARON LEE SCHROEDER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7720 OCEAN PARK DR
ANTELOPE CA
95843-6034
US

IV. Provider business mailing address

8849 COOK RIOLO RD
ROSEVILLE CA
95747-4990
US

V. Phone/Fax

Practice location:
  • Phone: 916-770-8839
  • Fax:
Mailing address:
  • Phone: 916-770-8800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number21632
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: