Individual
KRISTIAN JERNE MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
130 BAYOU OAKS DR APT 617, MONROE, LA 71203-3347
(318) 789-8931
Mailing address
130 BAYOU OAKS DR, MONROE, LA 71203-3337
(318) 789-8931
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3016089
LA
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3016089
—
LA
01
—
8760
LOUISIANA SPEECH PATHOLOGY LICENSE
LA
Enumeration date
12/22/2020
Last updated
05/06/2025
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