Individual
JENNIFER T AYESTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
127 WILLOW DR, COVINGTON, LA 70433-4933
(504) 234-9750
Mailing address
127 WILLOW DR, COVINGTON, LA 70433-4933
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5726
LA
Other
Enumeration date
05/31/2017
Last updated
05/31/2017
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