Individual
JESSICA DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4226 DUMAINE ST, NEW ORLEANS, LA 70119-3616
(225) 341-9588
Mailing address
4226 DUMAINE ST, NEW ORLEANS, LA 70119-3616
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7951
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7951
PROVISIONAL SPEECH-LANGUAGE PATHOLOGY
LA
Enumeration date
02/27/2018
Last updated
02/27/2018
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