Doctor Name: | MISS NANETTE JOLIE GAUTHIER |
NPI Number: | 1043334972 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MCD, CCC-SLP |
License Number: | 4231 |
Business Practice Address: | 333 1st St N Suite 200 Jacksonville Beach, FL - 322506945 |
Business Phone Number: | 1800940503 |
Business Fax Number: | 1888794503 |
Mailing Address: | 521 Holly Moore Dr, PINEVILLE |
State: | LA |
Postal Code: | 713604536 |
Phone Number: | 3377818419 |
Fax Number: | |
NPI Enumeration Date: | 03/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4231 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |