Individual
LISA WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
205 AMANDA DR, SLIDELL, LA 70458-6008
(504) 722-1516
Mailing address
205 AMANDA DR, SLIDELL, LA 70458-6008
(504) 722-1516
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5485
LA
Other
Enumeration date
06/13/2007
Last updated
01/02/2024
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