Individual
MRS. TAMMY LYNN CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
604 WESTVIEW DR, HOUMA, LA 70364-2544
(985) 872-2548
Mailing address
604 WESTVIEW DR, HOUMA, LA 70364-2544
(985) 872-2548
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3498
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1332445
—
LA
Enumeration date
10/12/2007
Last updated
10/12/2007
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