Individual
MS. KATHLEEN HIMEL MELANCON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
215 RIENZI DR, THIBODAUX, LA 70301-2922
(985) 446-0204
Mailing address
215 RIENZI DR, THIBODAUX, LA 70301-2922
(985) 446-0204
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
896
LA
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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