Individual
MS. DARLINE MARIE THIBODEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
306 ARNOULD BOULEVARD, LAFAYETTE, LA 70506-6218
(337) 233-7688
(337) 233-7688
Mailing address
306 ARNOULD BOULEVARD, LAFAYETTE, LA 70506-6218
(337) 233-7688
(337) 233-7688
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1749
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01075483
ASHA AMERICAN SPEECH LANG
—
05
—
1479128
—
LA
Enumeration date
02/05/2007
Last updated
07/09/2007
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