Individual
KACEY RODRIGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, CF-SLP
Contact information
Practice address
1805 COLLEGE DR, BATON ROUGE, LA 70808-1919
(225) 923-3240
(225) 922-9316
Mailing address
1805 COLLEGE DR, BATON ROUGE, LA 70808-1919
(225) 923-3240
(225) 922-9316
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7143
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1394149
—
LA
Enumeration date
01/20/2015
Last updated
01/20/2015
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