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NPI Code Detail

MEDICARE: MRS. NANCY JANE DEBESSONET M.A.

MEDICARE: MRS. NANCY JANE DEBESSONET M.A.
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 Pathologist925LA

General Provider Information

NPI Number : 1205049632
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NANCY JANE DEBESSONET M.A.
Provider Business Mailing Address
First Line : 3739 HUNDRED OAKS AVE
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-1678
Country : US
Telephone Number : 225-387-2983
Fax Number :
Provider Business Practice Location Address
First Line : 535 W ROOSEVELT ST
Second Line :
City : BATON ROUGE
State : LA
Zip : 70802-7844
Country : US
Telephone Number : 225-343-4232
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. NANCY JANE DEBESSONET M.A.” Practice Location

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