Individual
KAITLIN BATEMAN DALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
2101 ROBIN AVE STE 4, HAMMOND, LA 70403-5774
(985) 230-6160
Mailing address
74506 ETA AVE, COVINGTON, LA 70435-5412
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14296399
LA
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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