Individual
MISS LESLEY ANN OTTS ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2917 HIGHWAY 171, HORNBECK, LA 71439-1420
(225) 270-4790
Mailing address
2917 HIGHWAY 171, HORNBECK, LA 71439-1420
(225) 270-4790
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5011
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2317644
—
LA
Enumeration date
01/25/2007
Last updated
10/15/2013
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