Individual
MISS TAJA' LYNELL WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
7784 INNOVATION PARK DR, BATON ROUGE, LA 70820-7006
(225) 343-4232
Mailing address
2509 JOHNSTON ST APT 9-2, LAFAYETTE, LA 70503-3205
(122) 525-3115
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8888
LA
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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