Individual
MS. PAMELA E. GULLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,CCC/SLP
Contact information
Practice address
221 SHENANDOAH DR, DUBACH, LA 71235-3279
(318) 513-1082
(318) 513-1082
Mailing address
221 SHENANDOAH DR, DUBACH, LA 71235-3279
(318) 513-1082
(318) 513-1082
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4490
LA
Other
Enumeration date
08/20/2012
Last updated
08/20/2012
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