Individual
MR. ASA PAUL WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
,M.S., CCC-SLP
Contact information
Practice address
1961 MIDWAY ST, SHREVEPORT, LA 71108-2200
(318) 603-6831
Mailing address
304 HARDERS CROSSING BLVD, SHREVEPORT, LA 71106-8557
(318) 455-8227
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7589
LA
Other
Enumeration date
11/21/2017
Last updated
09/15/2021
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