Individual
RENEE M HUMPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
7606 TAMPA WAY, SHREVEPORT, LA 71105-5407
(318) 200-1318
Mailing address
7606 TAMPA WAY, SHREVEPORT, LA 71105-5407
(318) 200-1318
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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