Individual
MARISSA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
110 E MAIN ST, NEW IBERIA, LA 70560-3725
(337) 577-4100
Mailing address
3913 HIGHWAY 14, NEW IBERIA, LA 70560-9435
(337) 577-4100
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8010
LA
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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