| Magnolia Pediatric Therapy, Llc | |
|
3501 5th Ave Ste A, Lake Charles, LA 70607-2155 | |
| (337) 419-0086 | |
| (337) 415-0626 |
| Full Name | Magnolia Pediatric Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 3501 5th Ave Ste A, Lake Charles, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346690740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 7129 (Louisiana) | Primary |
| 261QH0700X | Clinic/center - Hearing And Speech | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Pediatric Therapy, Llc 3501 5th Ave Ste A, Lake Charles, LA 70607-2155 Ph: (337) 419-0086 | Magnolia Pediatric Therapy, Llc 3501 5th Ave Ste A, Lake Charles, LA 70607-2155 Ph: (337) 419-0086 |
Kelly Marie Abate, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1717 E Prien Lake Rd, Suite 1, Lake Charles, LA 70601 Phone: 337-478-5880 Fax: 337-478-5879 | |
Jana Hounchell, MCD Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6792 Calder St, Lake Charles, LA 70605 Phone: 334-300-5494 | |
Tracie Yvette Williams, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4032 Brentwood St, Lake Charles, LA 70607 Phone: 337-794-3090 | |
Mrs. Sonya M Brooks, MA CCS SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 1727 Imperial Blvd Bldg 3, Lake Charles, LA 70605 Phone: 337-478-5880 Fax: 337-478-5879 | |
Mrs. Jennifer Jane Lee, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 314 Broad St, Suite B, Lake Charles, LA 70601 Phone: 337-491-0800 | |
Mrs. Maura Carmouche Mize, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1130 Pithon St, Lake Charles, LA 70601 Phone: 337-433-4212 Fax: 337-433-4234 | |
Mrs. Sarah Guth Hyde, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1211 N Bayouwood Ct, Lake Charles, LA 70605 Phone: 337-304-8159 |