Individual
LACEY J MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2522 E 70TH ST, SHREVEPORT, LA 71105-4002
(318) 795-3388
(318) 795-3399
Mailing address
2522 E 70TH ST, SHREVEPORT, LA 71105-4002
(318) 795-3388
(318) 795-3399
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
105034
TX
235Z00000X
Speech-Language Pathologist
Primary
6571
LA
Other
Enumeration date
06/01/2010
Last updated
07/11/2012
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