Individual
MARISSA BELLANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS LP-SLP, CF-SLP
Contact information
Practice address
10086 OLD BR APT A, HAMMOND, LA 70403
(985) 696-3624
Mailing address
10086 OLD BR APT A, HAMMOND, LA 70403
(985) 696-3624
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8872
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8872
LBESPA
LA
Enumeration date
08/26/2021
Last updated
08/26/2021
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