Individual
PATTI SANDERS DIETRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC/SLP
Contact information
Practice address
5836 WESTRIDGE DR, BATON ROUGE, LA 70817-2861
(225) 505-8822
Mailing address
5836 WESTRIDGE DR, BATON ROUGE, LA 70817-2861
(225) 505-8822
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2403
LA
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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