The Speech Pathology Center of Louisiana, LLC
NPI #1164591038 in Baton Rouge, Louisiana
Provider Information
- NPI Number
- 1164591038
- Entity Type
- Organization
- Organization Name
- The Speech Pathology Center of Louisiana, LLC
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Nov 7, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 8676 GOODWOOD BLVD
- Address 2
- SUITE 204
- City
- Baton Rouge
- State
- Louisiana
- ZIP Code
- 70806-7914
- Phone
- (225) 923-1140
Authorized Official
- Name
- MS. MONDRA ROSE FAZELY, CCC
- Title
- MEMBER
- Phone
- (225) 923-1140
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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