Individual
KELLY HARLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
18268 PETROLEUM DR, BATON ROUGE, LA 70809-6126
(225) 292-4138
(225) 292-4142
Mailing address
18268 PETROLEUM DR, BATON ROUGE, LA 70809-6126
(225) 292-4138
(225) 292-4142
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7113
LA
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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