Organization
EXCELLENCE IN SPEECH PATHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOY JOHNSON PENNINGTON (SPEECH LANGUAGE PATHOLOGIST)
(225) 767-6831
Entity
Organization
Contact information
Practice address
6658 MILLSTONE AVE, BATON ROUGE, LA 70808-5114
(225) 767-6831
Mailing address
6658 MILLSTONE AVE, BATON ROUGE, LA 70808-5114
(225) 767-6831
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
3486
LA
Other
Enumeration date
12/15/2008
Last updated
12/15/2008
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