Individual
MRS. MARIA ANNE HOTARD STELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, CCC, SLP
Contact information
Practice address
261 HOTARD DR, RESERVE, LA 70084-6009
(985) 536-7441
Mailing address
261 HOTARD DR, RESERVE, LA 70084-6009
(985) 536-7441
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3427
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1474231
—
LA
Enumeration date
04/05/2007
Last updated
07/09/2007
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