Individual
KACEY AMEDEE FAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13343 W MAIN ST, LAROSE, LA 70373-2408
(985) 798-7557
(985) 798-7543
Mailing address
306 WELLINGTON DR, HOUMA, LA 70360-7115
(985) 852-1761
(985) 798-7543
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7048
LA
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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