Stephanie Hypolite

Individual provider Active NPI Speech-Language Pathologist · Breaux Bridge, LA

NPI 1497593743 · NPPES record last updated Jul 19, 2024

Key facts

NPI
1497593743
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
119088 (TX)
Practice address
1140 Bear Creek Cir
Breaux Bridge, LA 70517-6742
Phone
(337) 889-1206
NPI assigned
Jul 19, 2024
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

State licenses

LicenseStateTypeSpecialty
119088TXMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 119088 TX Yes

Addresses

Primary practice location

1140 Bear Creek Cir
Breaux Bridge, LA 70517-6742

Mailing address

67 S Higley Rd Ste 103-477
Gilbert, AZ 85296-1166

Other providers in Breaux Bridge, LA

All providers in Breaux Bridge, LA · Speech-Language Pathologist in Louisiana

Sources for this page

Verify at the official NPI Registry.