Individual
KYLIE BOUTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
304 LA RUE FRANCE STE 108, LAFAYETTE, LA 70508-3136
(337) 242-7931
Mailing address
304 LA RUE FRANCE STE 108, LAFAYETTE, LA 70508-3136
(337) 242-7931
(337) 282-8015
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7384
LA
Other
Enumeration date
04/27/2016
Last updated
10/23/2024
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