Individual
STACEY RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, SLP-CCC
Contact information
Practice address
315 8TH AVE, FRANKLINTON, LA 70438-1007
(985) 839-6508
Mailing address
315 8TH AVE, FRANKLINTON, LA 70438-1007
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1621625
—
LA
Enumeration date
03/22/2007
Last updated
07/08/2007
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