Individual
CASSIE FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
954 E PRUDHOMME ST, OPELOUSAS, LA 70570-8239
(337) 948-3634
Mailing address
8128 FLORIDA BLVD, DENHAM SPRINGS, LA 70726-7865
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7947
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235Z00000X
—
LA
Enumeration date
04/28/2021
Last updated
04/28/2021
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