Doctor Name: | TRICIA MASSIE |
NPI Number: | 1154400349 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLPA |
License Number: | 3774 |
Business Practice Address: | 220 S Jefferson St Abbeville, LA - 705105906 |
Business Phone Number: | 3378985717 |
Business Fax Number: | |
Mailing Address: | 715 Perry Dr, ABBEVILLE |
State: | LA |
Postal Code: | 705108220 |
Phone Number: | 3378921052 |
Fax Number: | |
NPI Enumeration Date: | 11/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | 3774 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |