Individual
EMILY PONZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
69461 TAVERNY CT, MADISONVILLE, LA 70447-3207
(504) 232-0738
Mailing address
69461 TAVERNY CT, MADISONVILLE, LA 70447-3207
(504) 232-0738
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7009
LA
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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