Individual
MRS. BONNIE D COURVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
101A WADSWORTH DR, LAFAYETTE, LA 70503-6613
(337) 831-2518
Mailing address
101A WADSWORTH DR, LAFAYETTE, LA 70503-6613
(337) 831-2518
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5452
LA
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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