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Contact Information

MARISSA M MOULEDOUS, M.S., CCC-SLP
612 HOLY TRINITY DR
COVINGTON, LA70433
 Phone: 985-643-5630
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for MARISSA M MOULEDOUS · (Female)

NPI Number 1467056150
Status Active
Credentials M.S., CCC-SLP
Entity Individual
Enumeration date 11/24/2020
Last updated 11/24/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 8000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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