Individual
KELLY GIOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
7784 INNOVATION PARK DR, BATON ROUGE, LA 70820-7006
(225) 343-4232
Mailing address
7784 INNOVATION PARK DR, BATON ROUGE, LA 70820-7006
(225) 343-4232
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7362
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2415743
—
LA
Enumeration date
05/14/2015
Last updated
05/16/2016
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