Individual
VIRGINIA FAITH DIETRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CF-SLP
Contact information
Practice address
3455 BRENTWOOD DR, BATON ROUGE, LA 70809-1640
(225) 244-9044
Mailing address
4000 LAKE BEAU PRE BLVD APT 65, BATON ROUGE, LA 70820-4267
(225) 505-8822
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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