Individual
DR. MALLORY LEIGH STOVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
7847 YOUREE DR, SHREVEPORT, LA 71105-5505
(318) 212-3960
Mailing address
7847 YOUREE DR, SHREVEPORT, LA 71105-5505
(903) 918-1040
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
8537
LA
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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