Individual
STEPHANIE M MYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, CCC-SLP
Contact information
Practice address
1961 MIDWAY ST, SHREVEPORT, LA 71108-2200
(131) 846-9992
Mailing address
9804 S CHASE CIR, SHREVEPORT, LA 71118-4832
(318) 469-9922
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3964
LA
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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