Individual
NICOLE GUMPERT GUEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH THERAPIST
Contact information
Practice address
12514 N OAK HILLS PKWY, BATON ROUGE, LA 70810-3239
(225) 615-7692
Mailing address
12514 N OAK HILLS PKWY, BATON ROUGE, LA 70810-3239
(225) 615-7692
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3474
LA
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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