Provider Demographics
NPI:1386332922
Name:SCHECKLMAN, MARNIE ELIZABETH
Entity type:Individual
Prefix:
First Name:MARNIE
Middle Name:ELIZABETH
Last Name:SCHECKLMAN
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 1:140 WYLDEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:OSHKOSH
Mailing Address - State:WI
Mailing Address - Zip Code:54904-8616
Mailing Address - Country:US
Mailing Address - Phone:715-937-8449
Mailing Address - Fax:
Practice Address - Street 1:597 KINGSWOOD AVE
Practice Address - Street 2:
Practice Address - City:FOND DU LAC
Practice Address - State:WI
Practice Address - Zip Code:54935-6399
Practice Address - Country:US
Practice Address - Phone:804-270-1628
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist