Doctor Name: | KELSEY R DUCOTE |
NPI Number: | 1568819829 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 6907 |
Business Practice Address: | 554 Tunica Dr W Marksville, LA - 713512627 |
Business Phone Number: | 3182407680 |
Business Fax Number: | 3182407681 |
Mailing Address: | 2002 Johnson St, Suite 100 JENNINGS |
State: | LA |
Postal Code: | 705463640 |
Phone Number: | 3378244547 |
Fax Number: | 3378244548 |
NPI Enumeration Date: | 05/17/2016 |
NPI Last Update Date: | 05/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 6907 |
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 |