Individual
MRS. DUSTI TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1021 ALCIDE BONIN RD., CECILIA, LA 70521
(337) 909-2658
Mailing address
600 CORPORATE BLVD, BREAUX BRIDGE, LA 70517-4324
(377) 909-2658
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7653
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72-6001274
—
LA
Enumeration date
07/01/2021
Last updated
07/01/2021
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