Individual
HEATHER STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, L-SLP, CCC-SLP
Contact information
Practice address
170 ROADRUNNER LANE, DESTREHAN, LA 70047
(985) 764-6367
Mailing address
13855 RIVER RD, LULING, LA 70070-6220
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5340
LA
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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