Individual
ALISSA DURR DEGEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38374 SPIEHLER RD, SLIDELL, LA 70458-5431
(985) 642-3400
Mailing address
38374 SPIEHLER RD, SLIDELL, LA 70458-5431
(985) 641-3400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6483
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8243
LBESPA STATE LICENSE
LA
Enumeration date
03/24/2022
Last updated
03/24/2022
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