Individual
ELIZABETH WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
6007 JEFFERSON ISLAND RD, NEW IBERIA, LA 70560-9626
(337) 365-6723
Mailing address
106 WINDERMERE CIR, YOUNGSVILLE, LA 70592-5633
(337) 278-2741
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7180
LA
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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