Maggie Henry
Individual provider Active NPI Speech-Language Pathologist · Bourg, LA
NPI 1710764352 · NPPES record last updated Sep 8, 2023
Key facts
- NPI
- 1710764352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 7446 (LA)
- Practice address
- 4413 St Andrew St
Bourg, LA 70343-5431 - Phone
- (985) 594-3663
- NPI assigned
- Sep 8, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7446 | LA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Terrebonne Parish School Board | Past |
Accepting new patients | |
| Terrebonne Parish School Board | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7446 | LA | Yes |
Addresses
Primary practice location
4413 St Andrew St
Bourg, LA 70343-5431
Mailing address
201 Stadium Dr
Houma, LA 70360-2732
Phone (985) 876-7400
Other providers in Bourg, LA
All providers in Bourg, 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 Sep 8, 2023. 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.