Doctor Name: | JANA D FOGLEMAN |
NPI Number: | 1821305343 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.C.D |
License Number: | 1874 |
Business Practice Address: | 1904 Ormond Blvd Suite 201 Destrehan, LA - 700473828 |
Business Phone Number: | 5043881601 |
Business Fax Number: | |
Mailing Address: | 5601 Albany Ct, NEW ORLEANS |
State: | LA |
Postal Code: | 701313813 |
Phone Number: | 5048588523 |
Fax Number: | |
NPI Enumeration Date: | 09/03/2010 |
NPI Last Update Date: | 09/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1874 |
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 |