Individual
DEJAE JASMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
3245 VALCOUR AIME ST, VACHERIE, LA 70090-7003
(225) 590-4408
Mailing address
13197 DESIRE ST, VACHERIE, LA 70090-4327
(225) 590-4408
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
8041
LA
235Z00000X
Speech-Language Pathologist
Primary
8041
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2444557
—
LA
Enumeration date
10/16/2018
Last updated
12/12/2023
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