Individual
LISA DELAHOUSSAYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
107 ESTATES LN, YOUNGSVILLE, LA 70592-5268
(337) 839-1747
Mailing address
107 ESTATES LN, YOUNGSVILLE, LA 70592-5268
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3126
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1308421
—
LA
01
—
3126
SPEECH LANGUAGE PATH
LA
Enumeration date
03/27/2007
Last updated
07/08/2007
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