Provider Demographics
NPI:1609000496
Name:SCHEXNAYDER, MARTA LICHTL (MCD-CCC/SLP)
Entity Type:Individual
Prefix:
First Name:MARTA
Middle Name:LICHTL
Last Name:SCHEXNAYDER
Suffix:
Gender:F
Credentials:MCD-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:PO BOX 1407
Mailing Address - Street 2:
Mailing Address - City:DERIDDER
Mailing Address - State:LA
Mailing Address - Zip Code:70634-1407
Mailing Address - Country:US
Mailing Address - Phone:504-390-9767
Mailing Address - Fax:
Practice Address - Street 1:161 ZOE DR
Practice Address - Street 2:
Practice Address - City:DERIDDER
Practice Address - State:LA
Practice Address - Zip Code:70634-6076
Practice Address - Country:US
Practice Address - Phone:504-390-9767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-07
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4999235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist