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Individual

HEATHER K ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
3730 BLAIR DR, LSUHSC-SCHOOL OF ALLIED HEALTH PROFESSIONS, SHREVEPORT, LA 71103-4602
(318) 632-2030
(318) 675-5666
Mailing address
1501 KINGS HWY, LSUHSC-ALLIED HEALTH CLINICS, SHREVEPORT, LA 71103-4228
(318) 632-2015
(318) 675-5666

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1174173
LA
Enumeration date
07/27/2006
Last updated
11/27/2016
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