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NPI Code Detail

MEDICARE: AUBREE HART CCC-SLP

MEDICARE: AUBREE HART 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
1235Z00000XSpeech-Language Pathologist7993LA

General Provider Information

NPI Number : 1760953756
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUBREE HART CCC-SLP
Provider Business Mailing Address
First Line : 2901 N I 10 SERVICE RD E STE 300
Second Line :
City : METAIRIE
State : LA
Zip : 70002-6137
Country : US
Telephone Number : 504-780-1702
Fax Number : 504-780-1705
Provider Business Practice Location Address
First Line : 9063 SIEGEN LN STE A
Second Line :
City : BATON ROUGE
State : LA
Zip : 70810-2051
Country : US
Telephone Number : 225-294-1600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2018
Last Update Date : 12/17/2018

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Directions to “ AUBREE HART CCC-SLP” Practice Location

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