Healthcare Provider Details

I. General information

NPI: 1245511328
Provider Name (Legal Business Name): KERRI NOELLE HOWARD M.A. CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2011
Last Update Date: 09/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8128 FLORIDA BLVD
DENHAM SPRINGS LA
70726-7865
US

IV. Provider business mailing address

18723 MANCHAC HIGHLANDS DR
PRAIRIEVILLE LA
70769-3051
US

V. Phone/Fax

Practice location:
  • Phone: 225-791-8666
  • Fax:
Mailing address:
  • Phone: 225-673-2368
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number3327
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: