Individual
MR. JILL RICHERT RIZK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
148 RANCH RD, SLIDELL, LA 70460-3325
(985) 649-9784
Mailing address
148 RANCH RD, SLIDELL, LA 70460-3325
(985) 649-9784
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3216
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1068951
—
LA
Enumeration date
04/08/2007
Last updated
07/08/2007
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