MEDICARE: LOUISIANA VOICE AND SWALLOW SOLUTIONS

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

General Provider Information

NPI Number	:	1124622592
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOUISIANA VOICE AND SWALLOW SOLUTIONS

Provider Business Mailing Address
First Line	:	2255 S BURNSIDE AVE
Second Line	:
City	:	GONZALES
State	:	LA
Zip	:	70737-4642
Country	:	US
Telephone Number	:	225-269-9971
Fax Number	:	225-308-8150

Provider Business Practice Location Address
First Line	:	2255 S BURNSIDE AVE
Second Line	:
City	:	GONZALES
State	:	LA
Zip	:	70737-4642
Country	:	US
Telephone Number	:	225-269-9971
Fax Number	:	225-308-8150

Authorized Official
Title or Position	:	SLP
Name	:	MRS. NICOLE TOWNLEY WILLIAMS
Credential	:	MA, CCC-SLP
Telephone Number	:	225-937-8605

Provider Enumeration Date	:	11/25/2020
Last Update Date	:	11/21/2024

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Directions to “LOUISIANA VOICE AND SWALLOW SOLUTIONS ” Practice Location

Language	Start Address	Practice Location

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