Individual
ANNA G WELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
101 RIVER RD, JEFFERSON, LA 70121-4222
(504) 828-7696
Mailing address
101 RIVER RD, JEFFERSON, LA 70121-4222
(504) 828-7696
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7064
LA
Other
Enumeration date
02/04/2014
Last updated
12/01/2016
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