Individual
JILL DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
315 S COLLEGE RD, SUITE 195, LAFAYETTE, LA 70503-3212
(337) 504-4244
(337) 706-7612
Mailing address
315 S COLLEGE RD, SUITE 195, LAFAYETTE, LA 70503-3212
(337) 504-4244
(337) 706-7612
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5787
LA
Other
Enumeration date
10/13/2009
Last updated
10/13/2009
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