Individual
SHERI HARRIS GAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3511 FOUNTAINBLEAU RD, KEITHVILLE, LA 71047-8546
(318) 218-7656
Mailing address
3511 FOUNTAINBLEAU RD, KEITHVILLE, LA 71047-8546
(318) 218-7656
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1833
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1472174
—
LA
Enumeration date
04/23/2007
Last updated
07/08/2007
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