| Kristian Jerne Marshall, CCC-SLP | |
|
130 Bayou Oaks Dr Apt 617, Monroe, LA 71203-3347 | |
| (318) 789-8931 | |
| Not Available |
| Full Name | Kristian Jerne Marshall |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 130 Bayou Oaks Dr Apt 617, Monroe, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285221408 | NPI | - | NPPES |
| 3016089 | Medicaid | LA | |
| 8760 | Other | LA | LOUISIANA SPEECH PATHOLOGY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | 3016089 (Louisiana) | Primary |
| Provider Name | Melanie Massey Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1104922475 PECOS PAC ID: 5890784342 Enrollment ID: O20040510000785 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristian Jerne Marshall, CCC-SLP 130 Bayou Oaks Dr, Monroe, LA 71203-3337 Ph: (318) 789-8931 | Kristian Jerne Marshall, CCC-SLP 130 Bayou Oaks Dr Apt 617, Monroe, LA 71203-3347 Ph: (318) 789-8931 |
Leslie Marsala Trahan, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2006 Tower Dr, Monroe, LA 71201 Phone: 318-325-0601 | |
Affinity Health Group, Llc Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 112 Saint John St, Monroe, LA 71201 Phone: 318-387-5681 Fax: 318-322-9957 | |
Valerie Camille Meche, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3130 Mercedes Dr, Monroe, LA 71201 Phone: 318-388-1303 | |
Shelbi Lyn Ballard, SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 4401 Sterlington Rd, Monroe, LA 71203 Phone: 318-232-1969 | |
Mrs. Audrey Malloy, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3021 River Oaks Dr, Monroe, LA 71201 Phone: 318-348-5701 Fax: 318-388-0774 | |
Krystal Williams, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2006 Tower Dr, Monroe, LA 71201 Phone: 318-325-0601 | |
Brooke Nikole Shirley, M.A., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3130 Mercedes Dr, Monroe, LA 71201 Phone: 318-388-1303 |