Organization
SOUTHERN SPEECH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY PRINCE BACK MCD, SLP-CCC (SPEECH LANGUAGE PATHOLOGIST)
(337) 298-3176
Entity
Organization
Contact information
Practice address
239 THIBODEAUX DR, LAFAYETTE, LA 70503-4441
(337) 298-3176
Mailing address
239 THIBODEAUX DR, LAFAYETTE, LA 70503-4441
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
05/01/2017
Last updated
05/01/2017
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