Individual
DEBORAH J MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 WOODDALE BLVD, 206, BATON ROUGE, LA 70806-2927
(504) 908-6001
Mailing address
600 WOODDALE BLVD, 206, BATON ROUGE, LA 70806-2927
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2336
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1332071
—
LA
Enumeration date
05/22/2007
Last updated
07/08/2007
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