Individual
JAMIE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8625 LINE AVE STE D, SHREVEPORT, LA 71106-6107
(318) 746-1199
Mailing address
4350 VIKING LOOP STE 1, BOSSIER CITY, LA 71111-7421
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8662
LA
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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