Individual
JENNIFER ACOSTA RODDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD
Contact information
Practice address
512 FOCIS STREET, METAIRIE, LA 70005
(504) 835-9608
Mailing address
512 FOCIS ST, METAIRIE, LA 70005-3438
(504) 835-9608
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5170
LA
Other
Enumeration date
08/23/2009
Last updated
12/02/2011
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