MEDICARE: DANIELLE LOUP BEATTIE

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	9401	LA

General Provider Information

NPI Number	:	1841049608
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE LOUP BEATTIE

Provider Business Mailing Address
First Line	:	2033 N HIGHWAY 190 STE 10
Second Line	:
City	:	COVINGTON
State	:	LA
Zip	:	70433-8985
Country	:	US
Telephone Number	:	985-317-3335
Fax Number	:

Provider Business Practice Location Address
First Line	:	2033 N HIGHWAY 190 STE 10
Second Line	:
City	:	COVINGTON
State	:	LA
Zip	:	70433-8985
Country	:	US
Telephone Number	:	985-317-3335
Fax Number	:

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

Provider Enumeration Date	:	05/15/2024
Last Update Date	:	06/17/2025

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Directions to “ DANIELLE LOUP BEATTIE ” Practice Location

Language	Start Address	Practice Location

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