Individual
FELECIA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED,CCC-SLP
Contact information
Practice address
123 SLATE LN, HOUMA, LA 70360-8337
(985) 580-1419
Mailing address
123 SLATE LN, HOUMA, LA 70360-8337
(985) 580-1419
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
2781
NE
235Z00000X
Speech-Language Pathologist
09125930
LA
235Z00000X
Speech-Language Pathologist
Primary
3787
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1307572
—
LA
Enumeration date
03/10/2007
Last updated
09/30/2024
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