Provider Demographics
NPI:1235371956
Name:SCHEXNAILDRE, MELL A (MA,SLP-CCC)
Entity Type:Individual
Prefix:
First Name:MELL
Middle Name:A
Last Name:SCHEXNAILDRE
Suffix:
Gender:F
Credentials:MA,SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7777 HENNESSY BLVD
Mailing Address - Street 2:STE 408
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-4300
Mailing Address - Country:US
Mailing Address - Phone:225-765-5335
Mailing Address - Fax:225-765-5339
Practice Address - Street 1:7777 HENNESSY BLVD
Practice Address - Street 2:STE 408
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4300
Practice Address - Country:US
Practice Address - Phone:225-765-5335
Practice Address - Fax:225-765-5339
Is Sole Proprietor?:No
Enumeration Date:2009-03-26
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2783235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist