Amy Fontenot Harper, MS CCC-SLP

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

NPI 1801007976 · NPPES record last updated Mar 31, 2015

Key facts

NPI
1801007976
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
5639 (LA)
Practice address
115 St. Julian St.
Schriever, LA 70395-0000
Phone
(985) 859-1398
NPI assigned
May 24, 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 Science

State licenses

LicenseStateTypeSpecialty
5639LAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 5639 LA Yes

Addresses

Primary practice location

115 St. Julian St.
Schriever, LA 70395-0000

Mailing address

115 St. Julian St.
Schriever, LA 70395-0000
Phone (985) 859-1398

Other identifiers

IdentifierTypeStateIssuer
1714305MedicaidLA

Other providers in Schriever, LA

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

Sources for this page

Verify at the official NPI Registry.