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Individual

ANDREA BEACH BABINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
105 PRESTON AVE, SHREVEPORT, LA 71105-3305
(903) 563-1509
Mailing address
105 PRESTON AVE, SHREVEPORT, LA 71105-3305
(903) 563-1509

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
104684
TX
235Z00000X
Speech-Language Pathologist
7475
LA
235Z00000X
Speech-Language Pathologist
Primary
SA19843
FL
235Z00000X
Speech-Language Pathologist
SLP013230
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
104684
STATE LICENSE
TX
01
7475
STATE LICENSE
LA
Enumeration date
03/13/2014
Last updated
07/23/2026
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