Individual
KELLY PITRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, SLP
Contact information
Practice address
203 E PLAQUEMINE ST, JENNINGS, LA 70546-5853
(337) 824-1357
(337) 824-6693
Mailing address
802 W JEFFERSON ST, JENNINGS, LA 70546-6348
(337) 824-1357
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4042
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4042
LOUISIANA BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY
LA
Enumeration date
05/25/2022
Last updated
07/20/2022
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