Individual
GINALYN ANN MCCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.C.D.SLP
Contact information
Practice address
75 INLET DR, SLIDELL, LA 70458-5705
(504) 512-5507
(985) 847-9930
Mailing address
75 INLET DR, SLIDELL, LA 70458-5705
(504) 512-5507
(985) 847-9930
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3293
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1199931
—
LA
Enumeration date
05/03/2007
Last updated
07/08/2007
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