Individual
CARLY B CHATELAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, L-SLP, CCC-SLP
Contact information
Practice address
13909 FLORIDA BLVD, LIVINGSTON, LA 70754-6340
(225) 686-4319
(225) 686-4335
Mailing address
PO BOX 1130, LIVINGSTON, LA 70754-1130
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8844
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2645986
—
LA
01
—
8844
LBESPA
LA
Enumeration date
08/06/2021
Last updated
05/09/2024
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