Organization
DELTA DYSPHAGIA DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARYANNA BRANCH DARK M.S., CCC-SLP (OWNER/SPEECH LANGUAGE PATHOLOGIST)
(318) 235-8644
Entity
Organization
Contact information
Practice address
82 BAYOU RD, RAYVILLE, LA 71269-6521
(318) 235-8644
Mailing address
82 BAYOU RD, RAYVILLE, LA 71269-6521
(318) 235-8644
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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