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NPI Code Detail

MEDICARE: MISS LA TOYA EARLYNE EBY M.S. SLP

MEDICARE:  MISS LA TOYA EARLYNE EBY  M.S. SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist6046LA

General Provider Information

NPI Number : 1033348909
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS LA TOYA EARLYNE EBY M.S. SLP
Provider Business Mailing Address
First Line : 5944 CRESTWAY AVE
Second Line :
City : BATON ROUGE
State : LA
Zip : 70812-1524
Country : US
Telephone Number : 225-892-2928
Fax Number :
Provider Business Practice Location Address
First Line : 4250 COOK RD
Second Line :
City : HOUSTON
State : TX
Zip : 77072-1115
Country : US
Telephone Number : 281-498-8110
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2009
Last Update Date : 07/13/2009

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Directions to “ MISS LA TOYA EARLYNE EBY M.S. SLP” Practice Location

Language Start Address Practice Location
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