Healthcare Provider Details

I. General information

NPI: 1497302301
Provider Name (Legal Business Name): PERRY FOWLER RANKIN MS, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PERRY FOWLER MS, CCC-SLP

II. Dates (important events)

Enumeration Date: 08/26/2019
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 MANHATTAN BLVD
HARVEY LA
70058-4443
US

IV. Provider business mailing address

583 JOSEPH ST
NEW ORLEANS LA
70115-2039
US

V. Phone/Fax

Practice location:
  • Phone: 504-349-7600
  • Fax:
Mailing address:
  • Phone: 850-376-4054
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7141
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: