Individual
MACY NOELLE JACKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CF-SLP
Contact information
Practice address
330 FALCONER DR STE D, COVINGTON, LA 70433-8211
(985) 900-2305
Mailing address
PO BOX 9170, MANDEVILLE, LA 70470-9170
(504) 419-7004
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
01/16/2019
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