Individual
KELLY BOURGEOIS ROUSSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., SLP
Contact information
Practice address
1959 HIGHWAY 3125 STE 3, LUTCHER, LA 70071-5641
(225) 258-9301
(225) 258-9300
Mailing address
1959 HIGHWAY 3125 STE 3, LUTCHER, LA 70071-5641
(225) 258-9301
(225) 258-9300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6612
LA
Other
Enumeration date
10/21/2014
Last updated
11/18/2022
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