Bianca Trejo Allbritton, M.S.,CCC-SLP

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

NPI 1154947778 · NPPES record last updated Aug 16, 2024

Key facts

NPI
1154947778
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
8578 (LA)
Practice address
2226 Murphy St
Shreveport, LA 71103-2549
Phone
(318) 603-6700
NPI assigned
Jun 19, 2020
Sex
Female
Sole proprietor
Yes

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
8578LAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Riley Physical Therapy, Inc Speech-Language Pathologist Current
since Jun 1, 2020
Accepting new patients

Locations

650 Olive St
Shreveport, LA 71104
Phone (318) 302-6000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 8578 LA Yes

Addresses

Primary practice location

2226 Murphy St
Shreveport, LA 71103-2549

Mailing address

401 Trinity Circle
Shreveport, LA 71106
Phone (318) 282-4856

Other practice location 1

2522 E 70th St
Shreveport, LA 71105-4002
Phone (318) 795-3388

Other practice location 2

650 Olive St
Shreveport, LA 71104-2210
Phone (318) 302-6000

Other providers in Shreveport, LA

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

Sources for this page

Verify at the official NPI Registry.