Provider Demographics
NPI:1417198706
Name:SCHECKEL, JOANNE (MA,CCC/SLP)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:SCHECKEL
Suffix:
Gender:F
Credentials:MA,CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3827 BRANTLEY PLACE CIR
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-6855
Mailing Address - Country:US
Mailing Address - Phone:407-765-3786
Mailing Address - Fax:
Practice Address - Street 1:3827 BRANTLEY PLACE CIR
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-6855
Practice Address - Country:US
Practice Address - Phone:407-765-3786
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-16
Last Update Date:2009-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 4473235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist