Individual
KELLI COUSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
5017 TENSAS DR, BOSSIER CITY, LA 71111-2537
(504) 417-0404
Mailing address
5017 TENSAS DR, BOSSIER CITY, LA 71111-2537
(504) 417-0404
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6458
LA
Other
Enumeration date
04/01/2014
Last updated
04/01/2014
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