Organization
SPRING SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA KETTLER M.S. CCC/SLP (OWNER)
(337) 388-0850
Entity
Organization
Contact information
Practice address
2258 DUHON RD, JENNINGS, LA 70546-8608
(337) 388-0850
Mailing address
2258 DUHON RD, JENNINGS, LA 70546-8608
(337) 388-0850
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407260029
NPI
—
Enumeration date
11/09/2022
Last updated
11/09/2022
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