Doctor Name: | MELISSA A WHITE |
NPI Number: | 1326219437 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.,CCC-SLP |
License Number: | 3579 |
Business Practice Address: | 1057 Paul Maillard Rd Luling, LA - 700704349 |
Business Phone Number: | 9857853684 |
Business Fax Number: | 9857853729 |
Mailing Address: | 1057 Paul Maillard Rd, LULING |
State: | LA |
Postal Code: | 700704349 |
Phone Number: | 9857853684 |
Fax Number: | 9857853729 |
NPI Enumeration Date: | 03/17/2008 |
NPI Last Update Date: | 03/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3579 |
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 |