Individual
TINA HATFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
916 TOPSY RD, LAKE CHARLES, LA 70611-5810
(337) 217-4780
Mailing address
3310 BROAD ST, LAKE CHARLES, LA 70615-3808
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2819
LA
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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