Individual
ASHLEY BOURQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
1034 ELIZABETH DR, BATON ROUGE, LA 70815-4509
(225) 926-6200
(225) 927-4089
Mailing address
1034 ELIZABETH DR, BATON ROUGE, LA 70815-4509
(225) 926-6200
(225) 927-4089
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5912
LA
Other
Enumeration date
06/09/2008
Last updated
04/14/2010
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