Individual
AMANDA RIVAULT MANOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
113 CHAPLIN DR, LAFAYETTE, LA 70508-2101
(337) 521-7000
Mailing address
124 GREEN MEADOW RD, LAFAYETTE, LA 70503-6104
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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