Individual
MRS. JESSICA T SZUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD CCCSLP
Contact information
Practice address
620 SCHOOL ST, HOUMA, LA 70360
(985) 872-3285
(985) 872-3205
Mailing address
645 FAIRWAY DRIVE, THIBODAUX, LA 70301
(985) 688-5773
(985) 872-3205
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5245
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1475998
—
LA
Enumeration date
03/23/2007
Last updated
07/08/2007
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