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Individual

DR. NANCYE C ROUSSEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
116 BOULDER DR, LAFAYETTE, LA 70508-3448
(337) 849-7871
Mailing address
116 BOULDER DR, LAFAYETTE, LA 70508-3448
(337) 849-7871

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1764
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1584550
LA
Enumeration date
07/26/2007
Last updated
07/26/2007
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