Organization
SPEECH AND FEEDING SPECIALIST OF LOUISIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY K GONSOULIN M.S., CCC/SLP (OWNER/PROVIDER)
(225) 603-3490
Entity
Organization
Contact information
Practice address
8564 JEFFERSON HWY, SUITE B, BATON ROUGE, LA 70809-2230
(225) 636-5410
Mailing address
8564 JEFFERSON HWY, SUITE B, BATON ROUGE, LA 70809-2230
(225) 636-5410
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/18/2016
Last updated
03/18/2016
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