Individual
DEIRDRE MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5247 DIDESSE DR, BATON ROUGE, LA 70808-9153
(225) 765-2273
(225) 374-0251
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0011
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6255
LA
Other
Enumeration date
10/31/2019
Last updated
04/07/2021
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