Individual
BLAYNE SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L-SLP, CCC-SLP
Contact information
Practice address
1310 S RANGE AVE, DENHAM SPRINGS, LA 70726-4810
(225) 380-1894
(225) 380-1896
Mailing address
1310 S RANGE AVE, DENHAM SPRINGS, LA 70726-4810
(225) 380-1894
(225) 380-1896
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9618
LA
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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