Individual
MRS. ELLEN KISSEL THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1805 COLLEGE DR, BATON ROUGE, LA 70808-1919
(225) 923-3420
Mailing address
15625 ANTIETAM AVE, BATON ROUGE, LA 70817-3137
(225) 753-3804
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
772046
LA
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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