Mrs Shirley Houston Smith, | |
856 N Airline Ave, Gramercy, LA 70052-3634 | |
(225) 869-9767 | |
(225) 869-8185 |
Full Name | Mrs Shirley Houston Smith |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 856 N Airline Ave, Gramercy, Louisiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932226859 | NPI | - | NPPES |
1306029 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 1871 (Louisiana) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Shirley Houston Smith, 856 N Airline Ave, Gramercy, LA 70052-3634 Ph: (225) 869-9767 | Mrs Shirley Houston Smith, 856 N Airline Ave, Gramercy, LA 70052-3634 Ph: (225) 869-9767 |
Alexa Elizabeth Roussel, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12125 Magnolia St., Gramercy, LA 70052 Phone: 225-331-0674 | |
Gretchen Elizabeth Wagner, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1732 Deroche Cir, Suite B, Gramercy, LA 70052 Phone: 225-868-0309 Fax: 225-869-0271 |