Individual
KAITLYN PURVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 TURNER ST, WISNER, LA 71378
(318) 724-7244
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
(601) 276-3900
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7787
LA
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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