Individual
MRS. STEPHANIE MCGOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
15347 WAYWOOD AVE, BATON ROUGE, LA 70816-3060
(225) 755-1738
Mailing address
15347 WAYWOOD AVE, BATON ROUGE, LA 70816-3060
(225) 755-1738
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4217
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306240
—
LA
Enumeration date
03/09/2007
Last updated
07/08/2007
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