Keely Puma, M.A, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Albany, LA
NPI 1760913776 · NPPES record last updated Oct 28, 2019
Key facts
- NPI
- 1760913776
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 5481 (LA)
- Practice address
- 19089 Florida Blvd
Albany, LA 70711-3603 - Phone
- (225) 209-7140
- Fax
- (225) 567-6847
- NPI assigned
- Mar 22, 2017
- 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)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5481 | LA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5481 | LA | Yes |
Addresses
Primary practice location
19089 Florida Blvd
Albany, LA 70711-3603
Mailing address
PO Box 1422
Natalbany, LA 70451-1422
Phone (225) 209-7140
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All providers in Albany, 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 Oct 28, 2019. 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.