Individual
SUANNE MADDOX MCCONATHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD. CCC-SLP
Contact information
Practice address
2500 VIKING DR, BOSSIER CITY, LA 71111-2104
(318) 549-6119
Mailing address
2416 BRISTOL CT, BOSSIER CITY, LA 71111-5560
(318) 393-2043
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5021
LA
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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