MEDICARE: ELIZABETH HECTOR

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	10194	LA

General Provider Information

NPI Number	:	1174458228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH HECTOR

Provider Business Mailing Address
First Line	:	825 KALISTE SALOOM RD STE 105
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-4231
Country	:	US
Telephone Number	:	337-278-3994
Fax Number	:	225-366-7053

Provider Business Practice Location Address
First Line	:	825 KALISTE SALOOM RD STE 105
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-4231
Country	:	US
Telephone Number	:	337-278-3994
Fax Number	:	225-366-7053

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

Provider Enumeration Date	:	06/17/2026
Last Update Date	:	06/17/2026

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Directions to “ ELIZABETH HECTOR ” Practice Location

Language	Start Address	Practice Location

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