Individual
MRS. EVELYN C. PENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4515 EDDIE WILLIAMS AVE, ALEXANDRIA, LA 71302-3628
(318) 443-4572
Mailing address
4515 EDDIE WILLIAMS AVE, ALEXANDRIA, LA 71302-3628
(318) 443-4572
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5049
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028118
—
LA
Enumeration date
05/22/2007
Last updated
02/18/2022
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