Cori D. Dysart Gagnard, M.ED.
Individual provider Active NPI Speech-Language Assistant · Lacombe, LA
NPI 1285841551 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1285841551
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Assistant 2355S0801X
- License
- 5582 (LA)
- Practice address
- 24265 Cane Byu
Lacombe, LA 70445-6125 - Phone
- (985) 869-4183
- Fax
- (985) 898-2940
- NPI assigned
- May 17, 2007
- 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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5582 | LA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 5582 | LA | Yes |
Addresses
Primary practice location
24265 Cane Byu
Lacombe, LA 70445-6125
Mailing address
309 Swift Fox Run
Madisonville, LA 70447-3113
Phone (504) 236-6810
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1527807 | Medicaid | LA |
Other providers in Lacombe, LA
- Covington Physician Services LLC
- Crescent Imaging, LLC
- Arthur Evan Davies Jr.
- Dietze & Logan Spine Specialist, LLC
- Donald David Dietze Jr.
- Adjuan Edgerson
- Brigitte Emanuel
- Emergency Group of Covington LLC
- Lorenzo Boykin Fisher
- Alexander Fontenot
All providers in Lacombe, LA · Speech-Language Assistant 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 8, 2007. 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.