Individual
KARLEIGH BLAISE HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
425 S VINE ST, BASTROP, LA 71220-4513
(318) 388-8414
Mailing address
425 S VINE ST, BASTROP, LA 71220-4513
(318) 388-8414
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
363A00000X
Physician Assistant
Primary
346285
LA
Other
Enumeration date
03/03/2021
Last updated
02/03/2026
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