Kristin Lynn Gianfalla, M.S., CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Geismar, LA

NPI 1124555040 · NPPES record last updated Apr 30, 2025

Key facts

NPI
1124555040
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
8776 (LA)
Practice address
13220 Oakbourne Ave
Geismar, LA 70734-3188
Phone
(504) 470-3737
NPI assigned
May 23, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
8776LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Statement Speech Therapy, LLC Speech-Language Pathologist Current
since May 4, 2025
Accepting new patients

Locations

711 E Ascension St
Gonzales, LA 70737
Phone (225) 399-3154

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 8776 LA Yes

Addresses

Primary practice location

13220 Oakbourne Ave
Geismar, LA 70734-3188

Mailing address

711 E Ascension St # 354
Gonzales, LA 70737-3028
Phone (504) 470-3737

Other providers in Geismar, LA

All providers in Geismar, LA · Speech-Language Pathologist in Louisiana

Sources for this page

Verify at the official NPI Registry.