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NPI Code Detail

MEDICARE: MICHELLE ANNE TASSIN M.C.D.

MEDICARE: MICHELLE ANNE TASSIN M.C.D.
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 Pathologist3014LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972725885
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE ANNE TASSIN M.C.D.
Provider Business Mailing Address
First Line : 5846 SOUTH POLLARD PARKWAY
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808
Country : US
Telephone Number : 225-769-5106
Fax Number :
Provider Business Practice Location Address
First Line : 5846 SOUTH POLLARD PARKWAY
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808
Country : US
Telephone Number : 225-769-5106
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2007
Last Update Date : 07/08/2007

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