Individual
KAITLYN BYRNSIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1605 STUBBS AVE, MONROE, LA 71201-5629
(318) 388-8414
Mailing address
1506 SAINT JOHN AVE, RUSTON, LA 71270-5246
(318) 376-0028
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8130
LA
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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