Individual
SHELLEY WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-ASSISTANT
Contact information
Practice address
110 BOWIE RD, THIBODAUX, LA 70301-6703
(985) 447-8181
Mailing address
608 GAYNELL DR, HOUMA, LA 70364-2052
(985) 852-3594
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
4992
LA
Other
Enumeration date
01/14/2022
Last updated
10/03/2022
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