Individual
MRS. T LANETTE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCCA
Contact information
Practice address
1000 OCHSNER BLVD, COVINGTON, LA 70433-8107
(985) 875-2828
(985) 875-2721
Mailing address
1000 OCHSNER BLVD, COVINGTON, LA 70433-8107
(985) 875-2828
(985) 875-2721
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
4651
LA
231HA2400X
Assistive Technology Practitioner Audiologist
4651
LA
231HA2500X
Assistive Technology Supplier Audiologist
4651
LA
237600000X
Audiologist-Hearing Aid Fitter
4651
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1158844
—
LA
Enumeration date
05/23/2005
Last updated
05/08/2008
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