Individual
AIDEN GENOVESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
321 N THEARD ST, COVINGTON, LA 70433-2835
(985) 892-2276
Mailing address
42283 JOSHUA DR, PONCHATOULA, LA 70454-8716
(985) 640-2548
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8452
LA
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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