Individual
MRS. LAQUITA RENEE CUPSTID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
3617 HEMLOCK ST, ZACHARY, LA 70791-4452
(601) 596-5777
Mailing address
3617 HEMLOCK ST, ZACHARY, LA 70791-4452
(601) 596-5777
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
105572
TX
235Z00000X
Speech-Language Pathologist
Primary
426498
NM
235Z00000X
Speech-Language Pathologist
8485
LA
Other
Enumeration date
04/12/2007
Last updated
04/29/2024
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