| Destiny Tate, | |
|
4845 Main St Ste B, Zachary, LA 70791-3943 | |
| (225) 654-8208 | |
| Not Available |
| Full Name | Destiny Tate |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 4845 Main St Ste B, Zachary, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912743766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 9608 (* (Not Available)) | Primary |
| Provider Name | Moreau Physical Therapy Inc. |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1770568669 PECOS PAC ID: 3173419298 Enrollment ID: O20180207001400 |
| Mailing Address | Practice Location Address |
|---|---|
| Destiny Tate, 4324 S Sherwood Forest Blvd Ste B170, Baton Rouge, LA 70816-4481 Ph: (225) 654-8208 | Destiny Tate, 4845 Main St Ste B, Zachary, LA 70791-3943 Ph: (225) 654-8208 |
Glinnis Baines, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1326 Church St, Zachary, LA 70791 Phone: 225-654-8208 Fax: 225-654-4642 | |
Ms. Amour Deshaye Louis, M.S., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3775 Hemlock St, Zachary, LA 70791 Phone: 225-654-4036 | |
Shecoda Denise Pinkney, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3305 Ramey Dr., Zachary, LA 70791 Phone: 225-413-8332 | |
Amy Sullivan, M.S.-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1326 Church St, Zachary, LA 70791 Phone: 224-654-8208 Fax: 225-654-4642 | |
Megan Trahant, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1326 Church St, Zachary, LA 70791 Phone: 225-654-8208 Fax: 225-654-4642 | |
Mrs. Stephanie N Hebert, M.ED., CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4200 Rollins Rd, Zachary, LA 70791 Phone: 225-358-7370 | |
Margaret Bishop, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 4845 Main St Ste B, Zachary, LA 70791 Phone: 225-654-8208 Fax: 225-654-4642 |