Faith Charrier, MS, L-SLP, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Stonewall, LA
NPI 1194567180 · NPPES record last updated Jul 1, 2024
Key facts
- NPI
- 1194567180
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 9453 (LA)
- Practice address
- 128 Diane LN Ste 4
Stonewall, LA 71078-9568 - Phone
- (318) 775-4164
- NPI assigned
- Jun 10, 2024
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9453 | LA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael Johnston LLC | Speech-Language Pathologist | Current |
Accepting new patients |
Locations
128 Diane Ln
Ste 4
Stonewall, LA 71078
Phone (219) 771-6161
128 Diane Ln
Stonewall, LA 71078
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 9453 | LA | Yes |
Addresses
Primary practice location
128 Diane LN Ste 4
Stonewall, LA 71078-9568
Mailing address
1161 Highway 765
Logansport, LA 71049-3138
Other providers in Stonewall, LA
- Gloria Brokenberry
- Mary Brokenberry
- Bonnie Canton
- Robin Carroll
- Sonya Carter
- Christus Health Central Louisiana
- Tera Rachal Cooke
- Council for Advancement of Social Service and Education
- Council for Advancement of Social Service and Education
- Brandon T Craig
All providers in Stonewall, 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 Jul 1, 2024. 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.