Individual
MYRN THERIOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
125 BELLINGRATH DR, HOUMA, LA 70360-7990
(985) 209-3042
Mailing address
125 BELLINGRATH DR, HOUMA, LA 70360-7990
(985) 209-3042
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1268
LA
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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