Peyton Madere, SLP
Individual provider Active NPI Speech-Language Pathologist · Lutcher, LA
NPI 1124803176 · NPPES record last updated Aug 29, 2023
Key facts
- NPI
- 1124803176
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 9093 (LA)
- Practice address
- 1959 Highway 3125 Ste 3
Lutcher, LA 70071-5641 - Phone
- (225) 247-5663
- NPI assigned
- Aug 29, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9093 | LA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roussel Therapy Services, LLC | Speech-Language Pathologist | Current |
Accepting new patients |
Locations
1959 Highway 3125
Ste 3
Lutcher, LA 70071
Phone (225) 247-5663
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 9093 | LA | Yes |
Addresses
Primary practice location
1959 Highway 3125 Ste 3
Lutcher, LA 70071-5641
Mailing address
1959 Highway 3125 Ste 3
Lutcher, LA 70071-5641
Phone (225) 247-5663
Other names
- Peyton Cashio
Other providers in Lutcher, LA
- Lasting Smiles Dentistry
- Marissa F Laurent
- Michelle M Leblanc
- Louisiana Homecare of Lutcher, LLC
- Lutcher Family Clinic
- Tamara Marchetta
- Casey McCants
- Charles J McGaff Jr.
- Sumer Ledet Miguez
- Mind 1St Solutions
All providers in Lutcher, LA · Speech-Language Pathologist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.