MEDICARE: MS. AMOUR DESHAYE LOUIS M.S.,L-SLP 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	9561	LA

General Provider Information

NPI Number	:	1063396000
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AMOUR DESHAYE LOUIS M.S.,L-SLP CCC-SLP

Provider Business Mailing Address
First Line	:	804 SHILO AVE
Second Line	:
City	:	BAKER
State	:	LA
Zip	:	70714-7916
Country	:	US
Telephone Number	:	225-316-7641
Fax Number	:

Provider Business Practice Location Address
First Line	:	3775 HEMLOCK ST
Second Line	:
City	:	ZACHARY
State	:	LA
Zip	:	70791-4499
Country	:	US
Telephone Number	:	225-654-4036
Fax Number	:

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

Provider Enumeration Date	:	08/04/2025
Last Update Date	:	03/10/2026

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Directions to “ MS. AMOUR DESHAYE LOUIS M.S.,L-SLP CCC-SLP” Practice Location

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