MEDICARE: MRS. YVONNE BYRD GASPARD M.ED., LPC,NCC

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
1	101Y00000X	Counselor	1075	LA

General Provider Information

NPI Number	:	1215269030
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. YVONNE BYRD GASPARD M.ED., LPC,NCC

Provider Business Mailing Address
First Line	:	PO BOX 322
Second Line	:
City	:	DESTREHAN
State	:	LA
Zip	:	70047-0322
Country	:	US
Telephone Number	:	504-782-4269
Fax Number	:

Provider Business Practice Location Address
First Line	:	1308 PAUL MAILLARD RD
Second Line	:
City	:	LULING
State	:	LA
Zip	:	70070-4548
Country	:	US
Telephone Number	:	504-782-4269
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2010
Last Update Date	:	02/03/2010

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