Individual
MISS KRISTEN MARIE REBOUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
8300 EARHART BLVD, SUITE 100, NEW ORLEANS, LA 70118-4428
(504) 866-6990
Mailing address
336 BRAGG ST, NEW ORLEANS, LA 70124-3108
(504) 957-0449
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/29/2012
Last updated
09/30/2015
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