Doctor Name: | JESSICA DONNAUD |
NPI Number: | 1225114804 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 4363 |
Business Practice Address: | 538 W 2nd St La Place, LA - 700686802 |
Business Phone Number: | 9856527233 |
Business Fax Number: | 9856522763 |
Mailing Address: | 102 Dunleith Dr, DESTREHAN |
State: | LA |
Postal Code: | 700472023 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | 4363 |
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: |