Macy Bell Guillotte

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

NPI 1235877994 · NPPES record last updated May 23, 2022

Key facts

NPI
1235877994
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
9018 (LA)
Practice address
201 Crosby St
Mansfield, LA 71052-2613
Phone
(318) 872-2836
NPI assigned
May 23, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
9018LAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 9018 LA Yes

Addresses

Primary practice location

201 Crosby St
Mansfield, LA 71052-2613

Mailing address

128 Frank Dr
Logansport, LA 71049-3028
Phone (318) 560-3746

Other providers in Mansfield, LA

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

Sources for this page

Verify at the official NPI Registry.