Individual
AMBER GONSOULIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
169 LA RUE VIL, LAFAYETTE, LA 70508-6829
(337) 380-4937
Mailing address
169 LA RUE VIL, LAFAYETTE, LA 70508-6829
(337) 380-4937
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5777
LA
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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