Organization
PEDIATRIC THERAPY AND LEARNING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARSHA T. LEGOULLON M.A., CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(337) 504-4244
Entity
Organization
Contact information
Practice address
108 ENERGY PKWY, LAFAYETTE, LA 70508-3818
(337) 504-4244
(337) 706-7612
Mailing address
108 ENERGY PKWY, LAFAYETTE, LA 70508-3818
(337) 504-4244
(337) 706-7612
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6507
LA
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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