Organization
SPEECH CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY RELLER CCC-SLP (PRESIDENT)
(318) 422-5460
Entity
Organization
Contact information
Practice address
8870 YOUREE DR STE 210, SHREVEPORT, LA 71115-2512
(318) 798-2981
(318) 798-0447
Mailing address
809 ONEONTA ST, SHREVEPORT, LA 71106-1129
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2709
LA
Other
Enumeration date
01/25/2010
Last updated
01/25/2010
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