Individual
MRS. DANA DURST PITTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4667 BAYOU BLACK DR, GIBSON, LA 70356-3312
(601) 630-5564
Mailing address
4667 BAYOU BLACK DR, GIBSON, LA 70356-3312
(601) 630-5564
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LA 6496
LA
Other
Enumeration date
03/12/2012
Last updated
03/12/2012
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