Individual
CHERI HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP, L-SLP
Contact information
Practice address
3107 SURREY LN, LAKE CHARLES, LA 70605-3939
(337) 474-1083
(337) 478-0512
Mailing address
3107 SURREY LN, LAKE CHARLES, LA 70605-3939
(337) 474-1083
(337) 478-0512
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4728
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1502847
—
LA
Enumeration date
03/29/2007
Last updated
07/08/2007
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