Doctor Name: | ANNE D. BRIESE |
NPI Number: | 1669499646 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | S.L.P. |
License Number: | 486 |
Business Practice Address: | 433 Plaza St Bogalusa, LA - 704273729 |
Business Phone Number: | 9857306705 |
Business Fax Number: | 9857307183 |
Mailing Address: | 1532 Founders Dr, BOGALUSA |
State: | LA |
Postal Code: | 704274058 |
Phone Number: | 9857323727 |
Fax Number: | 9857306709 |
NPI Enumeration Date: | 07/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 486 |
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 |