Individual
ELIZABETH MARTIN STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1001 LA SALLE ST, TALLULAH, LA 71282-4917
(318) 282-8713
Mailing address
1001 LA SALLE ST, TALLULAH, LA 71282-4917
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3959
MS
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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