Provider Demographics
NPI:1689057630
Name:SCHEXNAIDER, DODDIE
Entity Type:Individual
Prefix:
First Name:DODDIE
Middle Name:
Last Name:SCHEXNAIDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:813 PELICAN AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70114-1102
Mailing Address - Country:US
Mailing Address - Phone:504-392-0779
Mailing Address - Fax:504-392-0892
Practice Address - Street 1:813 PELICAN AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114-1102
Practice Address - Country:US
Practice Address - Phone:504-392-0779
Practice Address - Fax:504-392-0892
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-08
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3602235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist