Individual
MRS. SUZANNE ASHLEY KERSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
10547 SWEETBROOK AVE, BATON ROUGE, LA 70809-3901
(225) 292-0077
Mailing address
10547 SWEETBROOK AVE, BATON ROUGE, LA 70809-3901
(225) 292-0077
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3449
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1474363
—
LA
Enumeration date
03/29/2007
Last updated
07/09/2007
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