Individual
MRS. GEORGIA DIEDRICH RUTTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
155 ELMWOOD DR, THIBODAUX, LA 70301-8089
(985) 438-8929
Mailing address
155 ELMWOOD DR, THIBODAUX, LA 70301-8089
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5328
LA
Other
Enumeration date
08/14/2011
Last updated
08/14/2011
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