MEDICARE: MS. MONDRA ROSE FAZELY M.A., CCC-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
1	235Z00000X	Speech-Language Pathologist	2002	LA

General Provider Information

NPI Number	:	1316016181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MONDRA ROSE FAZELY M.A., CCC-SLP

Provider Business Mailing Address
First Line	:	637 CARRIAGE WAY
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70808-4832
Country	:	US
Telephone Number	:	225-769-7479
Fax Number	:	225-923-1326

Provider Business Practice Location Address
First Line	:	8676 GOODWOOD BLVD
Second Line	:	SUITE 204
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-7914
Country	:	US
Telephone Number	:	225-923-1140
Fax Number	:	225-923-1326

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

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1619924982 — JOY COMMUNITY HEALTH CENTER INC.
Practice Location Address:

8676 GOODWOOD BLVD , SUITE 106
BATON ROUGE, LA
70806-7914

Practice Phone: 225-929-7239
Practice Fax: 225-926-8590

1861571895 — MRS. TAMI GRIGSBY MORAN M.A., CCC-SLP
Practice Location Address:

8676 GOODWOOD BLVD STE 204
BATON ROUGE, LA
70806-7914

Practice Phone: 225-923-1140
Practice Fax:

1164591038 — THE SPEECH PATHOLOGY CENTER OF LOUISIANA, LLC
Practice Location Address:

8676 GOODWOOD BLVD , SUITE 204
BATON ROUGE, LA
70806-7914

Practice Phone: 225-923-1140
Practice Fax: 225-923-1326

1174683064 — REYNELDA LASHAWN GIPSON-ARMSTRONG LPC
Practice Location Address:

8676 GOODWOOD BLVD STE 105
BATON ROUGE, LA
70806-7914

Practice Phone: 225-636-5817
Practice Fax:

1134257561 — SHANNON S MORGAN M.C.D.,CCC-SLP
Practice Location Address:

8676 GOODWOOD BLVD , SUITE 204
BATON ROUGE, LA
70806-7914

Practice Phone: 225-923-1140
Practice Fax:

1629296025 — CARING HANDS HOMEMAKER SERV INC
Practice Location Address:

8676 GOODWOOD BLVD , 402 SUITE
BATON ROUGE, LA
70806-7914

Practice Phone: 225-923-2439
Practice Fax: 225-923-3696

Directions to “ MS. MONDRA ROSE FAZELY M.A., CCC-SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.