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NPI Code Detail

MEDICARE: MRS. TANYA CHAUVIN BOURGOYNE M.A., CCC-SLP

MEDICARE: MRS. TANYA CHAUVIN BOURGOYNE 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
1235Z00000XSpeech-Language Pathologist3867LA

General Provider Information

NPI Number : 1962619320
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TANYA CHAUVIN BOURGOYNE M.A., CCC-SLP
Provider Business Mailing 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 : 225-343-4233
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 : 225-343-4233
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2007
Last Update Date : 05/21/2013

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Directions to “ MRS. TANYA CHAUVIN BOURGOYNE M.A., CCC-SLP” Practice Location

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