Doctor Name: | MRS. MARY ELAINE M OSBORNE |
NPI Number: | 1326076720 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 4239 |
Business Practice Address: | 1100 N Victor Ii Blvd Morgan City, LA - 703801331 |
Business Phone Number: | 9853854327 |
Business Fax Number: | 9853851988 |
Mailing Address: | 1100 N Victor Ii Blvd, MORGAN CITY |
State: | LA |
Postal Code: | 703801331 |
Phone Number: | 9853854327 |
Fax Number: | 9853851988 |
NPI Enumeration Date: | 06/28/2006 |
NPI Last Update Date: | 03/15/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235500000X |
License Number: | 4239 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |