Mary C Geno, MS, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Tickfaw, LA
NPI 1215665682 · NPPES record last updated Aug 12, 2022
Key facts
- NPI
- 1215665682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 1981 (LA)
- Practice address
- 14417 Highway 442 W
Tickfaw, LA 70466-3022 - Phone
- (985) 345-2166
- NPI assigned
- Aug 12, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 1981 | LA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1981 | LA | Yes |
Addresses
Primary practice location
14417 Highway 442 W
Tickfaw, LA 70466-3022
Mailing address
14417 Highway 442 W
Tickfaw, LA 70466-3022
Phone (985) 345-2166
Other providers in Tickfaw, LA
- Kartisia Esco
- Angelina Lizbeth Farfan
- Daphne And M Family Felder
- Taneshia Latoy Francois
- Dea Frederick
- Grace Loving Arms Private Sitting Service LLC
- Reginald Guidry Sr.
- Jennifer Hewitt
- Karen Johnson
- Barbara Labee
All providers in Tickfaw, 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 12, 2022. 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.