Individual
SOPHIE SERCOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4603 BLUEBONNET BLVD, BATON ROUGE, LA 70809-9633
(225) 802-2640
Mailing address
4603 BLUEBONNET BLVD, BATON ROUGE, LA 70809-9633
(225) 802-2640
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
011438283
LA
235Z00000X
Speech-Language Pathologist
Primary
9486
LA
Other
Enumeration date
05/20/2021
Last updated
08/14/2025
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