Provider Demographics
NPI:1780720516
Name:SCHAEFFER, LYNNE G (MCD,CCC SLP)
Entity type:Individual
Prefix:MRS
First Name:LYNNE
Middle Name:G
Last Name:SCHAEFFER
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 1:424 S TYLER ST
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-3040
Mailing Address - Country:US
Mailing Address - Phone:985-893-4323
Mailing Address - Fax:985-893-2123
Practice Address - Street 1:424 S TYLER ST
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-3040
Practice Address - Country:US
Practice Address - Phone:985-893-4323
Practice Address - Fax:985-893-2123
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2443235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist