MEDICARE: MRS. TASHA RENEE ELBERT-MCCLAIN M.S.

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	2355S0801X	Speech-Language Assistant	6206	LA
2	225700000X	Massage Therapist	LA8314	LA

General Provider Information

NPI Number	:	1184941239
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TASHA RENEE ELBERT-MCCLAIN M.S.

Provider Business Mailing Address
First Line	:	PO BOX 73046
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70874
Country	:	US
Telephone Number	:	225-328-7258
Fax Number	:

Provider Business Practice Location Address
First Line	:	7444 PICARDY AVE STE B
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70808-4331
Country	:	US
Telephone Number	:	225-216-7885
Fax Number	:

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

Provider Enumeration Date	:	04/29/2010
Last Update Date	:	04/10/2019

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