Individual
MICHELLE STURDIVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A. SLP ASSISTANT
Contact information
Practice address
306 N RANGE AVE, DENHAM SPRINGS, LA 70726-3424
(225) 665-5855
Mailing address
13909 FLORIDA BLVD, LIVINGSTON, LA 70754-6340
(225) 686-4335
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
7807
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7807
LBESPA
LA
Enumeration date
08/19/2022
Last updated
11/08/2024
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