Individual
JENNIFER TERRY OLIVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 CHAPLIN DR, LAFAYETTE, LA 70508-2101
(337) 521-7000
Mailing address
105 RIO RIDGE DR, LAFAYETTE, LA 70508-8169
(337) 344-4908
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6664
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236
—
LA
Enumeration date
11/01/2021
Last updated
11/01/2021
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