Katie Marie Roussell, MA, CCC-SLP is a
Speech-language Pathologist based in Boutte, Louisiana. Katie Marie Roussell is licensed to practice in Louisiana (license number 5510) and her current practice location is
610 Magnolia Ridge Road, Boutte, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(504) 250-3764.
NPI number for Katie Marie Roussell is 1073880761 and her current mailing address is 610 Magnolia Ridge Rd, Boutte, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073880761.
Healthcare Provider's Profile
Full Name | Katie Marie Roussell |
---|
Gender | Female |
---|
Speciality | Speech-language Pathologist |
---|
Location | 610 Magnolia Ridge Road, Boutte, Louisiana |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073880761
- Provider Enumeration Date: 11/23/2011
- Last Update Date: 11/23/2011
Medical Identifiers
Medical identifiers for Katie Marie Roussell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073880761 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 5510 (Louisiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katie Marie Roussell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Katie Marie Roussell, MA, CCC-SLP 610 Magnolia Ridge Rd, Boutte, LA 70039-3223 Ph: (504) 250-3764 | Katie Marie Roussell, MA, CCC-SLP 610 Magnolia Ridge Road, Boutte, LA 70039 Ph: (504) 250-3764 |
Reviews and Comments