Individual
KODI C MEJIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
101 KEMPTON DR, LAFAYETTE, LA 70508-6547
(337) 519-9520
Mailing address
101 KEMPTON DR, LAFAYETTE, LA 70508-6547
(337) 519-9520
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4894
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12041372
ASHA
LA
05
—
1326755
—
LA
Enumeration date
04/08/2007
Last updated
06/14/2022
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