Organization
LOUISIANA TELETHERAPY LLC
Active
Other names
Louisiana Teletherapy
Organization subpart
No
Provider details
NPI number
Authorized official
MAGGIE DEVILLE M.A. (OWNER)
(225) 715-9745
Entity
Organization
Contact information
Practice address
12072 GRIFFITH RD, GONZALES, LA 70737-6478
(225) 715-9745
Mailing address
12072 GRIFFITH RD, GONZALES, LA 70737-6478
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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