Individual
MRS. DEVONNE ISMENE LOISEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1830 NW 122ND TER, PEMBROKE PINES, FL 33026-1966
(954) 435-5300
(954) 435-8880
Mailing address
5312 NW 126TH DR, CORAL SPRINGS, FL 33076-3406
(954) 757-1420
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 6772
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA 6772
SPEECH PATHOLOGY LICENSE
FL
Enumeration date
05/08/2007
Last updated
07/08/2007
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