Individual
WINNIE SUE LAVIGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.,L-SLP,CCC-SLP
Contact information
Practice address
30048 PEAK LN, WALKER, LA 70785-7109
(225) 665-8173
(225) 791-8593
Mailing address
30048 PEAK LN, WALKER, LA 70785-7109
(225) 665-8173
(225) 791-8593
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3781
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1308706
—
LA
Enumeration date
04/03/2007
Last updated
07/08/2007
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