| Doctor Name: | KACIE WEBB |
| NPI Number: | 1598147753 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 7374 |
| Business Practice Address: | 1717 E Prien Lake Rd Suite 1 Lake Charles, LA - 706010400 |
| Business Phone Number: | 3374785880 |
| Business Fax Number: | 3374785879 |
| Mailing Address: | 4600 W Quail Hollow Dr, LAKE CHARLES |
| State: | LA |
| Postal Code: | 706055125 |
| Phone Number: | 3374785880 |
| Fax Number: | 3374785879 |
| NPI Enumeration Date: | 06/24/2015 |
| NPI Last Update Date: | 06/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 7374 |
| 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 |