Individual
KAITLYNN SUE SURPRENANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, L-SLP, CCC-SLP
Contact information
Practice address
146 HARBOUR TOWN CT, NEW ORLEANS, LA 70131-3370
(217) 294-0429
Mailing address
146 HARBOUR TOWN CT, NEW ORLEANS, LA 70131-3370
(217) 294-0429
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8612
LA
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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