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Organization
LUCID SPEECH THERAPY
Active
Organization
LUCID SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA BROWN MS, CCC-SLP (OWNER/SPEECH-LANGUAGE PATHOLOGIST)
(337) 540-4522
Entity
Organization
Contact information
Practice address
630 W PRIEN LAKE RD STE B, APT 206, LAKE CHARLES, LA 70601-0700
(337) 540-4522
Mailing address
630 W PRIEN LAKE RD STE B, APT 206, LAKE CHARLES, LA 70601-0700
(337) 540-4522
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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