Individual
MRS. LISA ELLEN MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2888 BRIGHTSIDE DR, BATON ROUGE, LA 70820-3509
(225) 769-8160
Mailing address
620 S ACADIAN THRUWAY, BATON ROUGE, LA 70806-5636
(225) 726-5538
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6701
LA
Other
Enumeration date
02/02/2014
Last updated
02/10/2014
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