Casey Knotts, M.A. C.C.C SLP

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

NPI 1356652150 · NPPES record last updated Mar 24, 2011

Key facts

NPI
1356652150
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
6126 (LA)
Practice address
638 Booner Miller Road
Deville, LA 71328
Phone
(318) 560-6250
NPI assigned
Jun 25, 2010
Sex
Female
Sole proprietor
No

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 Arts

State licenses

LicenseStateTypeSpecialty
6126LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cenla Speech Language Therapy LLC Speech-Language Pathologist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 6126 LA Yes

Addresses

Primary practice location

638 Booner Miller Road
Deville, LA 71328

Mailing address

638 Booner Miller Road
Deville, LA 71328
Phone (318) 560-6250

Other providers in Deville, LA

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

Sources for this page

Verify at the official NPI Registry.