Organization
DESTINEE PAUL SLP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESTINEE PAUL (MANAGER MEMBER)
(318) 316-3700
Entity
Organization
Contact information
Practice address
430 TARPLEY RD, TROUT, LA 71371-4513
(318) 316-3700
Mailing address
430 TARPLEY RD, TROUT, LA 71371-4513
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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