Doctor Name: | LINDA H KELLAR |
NPI Number: | 1790093193 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSP, CCC |
License Number: | 3267 |
Business Practice Address: | 61382 Jack Williams Rd Bogalusa, LA - 704278046 |
Business Phone Number: | 9857324664 |
Business Fax Number: | 9857329346 |
Mailing Address: | 61382 Jack Williams Rd, BOGALUSA |
State: | LA |
Postal Code: | 704278046 |
Phone Number: | 9857324664 |
Fax Number: | 9857329346 |
NPI Enumeration Date: | 09/20/2010 |
NPI Last Update Date: | 09/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3267 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |