Individual
JADE BORDELON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
(337) 261-6000
Mailing address
201 SETTLERS TRACE BLVD APT 4303, LAFAYETTE, LA 70508-6792
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7346
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7346
SPEECH-LANGUAGE PATHOLOGIST
LA
Enumeration date
11/26/2018
Last updated
11/26/2018
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