Individual
JESSI LEIGH PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, SLP-CCC
Contact information
Practice address
2000 COVINGTON CTR, COVINGTON, LA 70433-2979
(985) 464-9940
Mailing address
42346 LANDING VIEW RD, PONCHATOULA, LA 70454-4237
(985) 807-7490
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
4957
OK
235Z00000X
Speech-Language Pathologist
Primary
7723
LA
Other
Enumeration date
04/26/2018
Last updated
05/08/2022
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