Individual provider · Type 1 NPI

Mondra Rose Fazely, M.A., CCC-SLP

Speech-Language Pathologist · Baton Rouge, LA

NPI number 1316016181 Active

Practice location

8676 Goodwood Blvd, Suite 204
Baton Rouge, LA 70806-7914

Call (225) 923-1140 Map

Fax (225) 923-1326

Mailing address

637 Carriage Way
Baton Rouge, LA 70808-4832

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X2002 (LA)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1316016181

Mondra Rose Fazely, M.A., CCC-SLP's National Provider Identifier is 1316016181, issued on Nov 7, 2006. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Baton Rouge, LA. The record was last updated on Jul 8, 2007.