Individual
MAYA MARIE GAUTHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
82 RIVER PARK DR, HAHNVILLE, LA 70057-2439
(504) 638-8930
Mailing address
82 RIVER PARK DR, HAHNVILLE, LA 70057-2439
(150) 463-8893
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8362
LA
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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