Individual
MRS. GINA MORAN LEYRER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC/SLP
Contact information
Practice address
16846 WEYANOKE DR, ZACHARY, LA 70791-8844
(225) 405-6758
(225) 261-2987
Mailing address
16846 WEYANOKE DR, ZACHARY, LA 70791-8844
(225) 405-6758
(225) 261-0005
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2665
LA
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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