Organization
JOHNSON & JOHNSON'S SPEECH, LANGUAGE, AND HEARING CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUANTA TRENISE BUGGAGE M. ED. (LICENSED SPEECHLANGUAGE PATHOLOGIST)
(225) 244-1823
Entity
Organization
Contact information
Practice address
2036 WOODDALE BLVD, SUITE L, BATON ROUGE, LA 70806-1518
(225) 928-6887
(225) 928-6851
Mailing address
14453 BYWOOD AVE, BATON ROUGE, LA 70819-2006
(225) 244-1823
(225) 376-4801
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
5824
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023680
—
LA
Enumeration date
10/15/2007
Last updated
08/10/2009
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