Individual
MRS. LESLIE FIEG JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
720 HEAVENS DR APT 22, MANDEVILLE, LA 70471-6702
(334) 714-2692
Mailing address
485 SECLUDED GROVE LOOP, MADISONVILLE, LA 70447
(334) 714-2692
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5817
LA
235Z00000X
Speech-Language Pathologist
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Other
Enumeration date
08/13/2007
Last updated
05/18/2023
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