Individual
MRS. RUTH ANN THIBEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1626 E MILTON AVE, LAFAYETTE, LA 70508-7972
(337) 857-0128
Mailing address
1616 E. MILTON AVE., LAFAYETTE, LA 70508
(337) 857-0128
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3146
LA
Other
Enumeration date
03/07/2011
Last updated
03/07/2011
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