Individual
MS. AMY E FORREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
132 S 6TH ST, PONCHATOULA, LA 70454-3317
(985) 386-6884
Mailing address
605 SILVERTHORNE LN, COVINGTON, LA 70433-7823
(985) 320-5906
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5729
LA
Other
Enumeration date
06/17/2009
Last updated
08/21/2012
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