Organization
THEREX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEAHTER ANNE GAUDET M.S., CFY-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(985) 798-7557
Entity
Organization
Contact information
Practice address
13343 WEST MAIN STREET, LAROSE, LA 70373
(985) 798-7557
Mailing address
PO BOX 159, LAROSE, LA 70373-0159
(985) 798-7557
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5430
LA
Other
Enumeration date
12/24/2007
Last updated
12/24/2007
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