Individual
JENNIFER NICOLOSI ALLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC/SLP
Contact information
Practice address
203 CAPTAIN RICK DR, YOUNGSVILLE, LA 70592-5965
(225) 413-1709
Mailing address
113 CHAPLIN DR, LAFAYETTE, LA 70508-2101
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5747
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128332
—
LA
Enumeration date
01/28/2022
Last updated
01/28/2022
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