Individual
MISTY M SEALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
612 HOLY TRINITY DR, COVINGTON, LA 70433
(985) 643-5630
Mailing address
1349 AMERICA ST, MANDEVILLE, LA 70448-4119
(985) 981-7954
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8066
LA
Other
Enumeration date
03/01/2018
Last updated
02/02/2021
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