Individual
MRS. AZADEH ALAVI OCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
235 BLACKBERRY DR, THIBODAUX, LA 70301-9463
(504) 390-2908
Mailing address
235 BLACKBERRY DR, THIBODAUX, LA 70301-9463
(504) 390-2908
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5667
LA
Other
Enumeration date
10/21/2008
Last updated
09/29/2022
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