| Tracie Champagne, | |
| 1326 Church St, Zachary, LA 70791-2743 | |
| (225) 654-8208 | |
| (225) 654-4642 | 
| Full Name | Tracie Champagne | 
|---|---|
| Gender | Female | 
| Speciality | Speech-language Pathologist | 
| Location | 1326 Church St, 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 | 
|---|---|---|---|
| 1699266122 | NPI | - | NPPES | 
| 7493 | Other | LA | STATE LICENSE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 7493 (Louisiana) | 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 | 
|---|---|
| Tracie Champagne, 1326 Church St, Zachary, LA 70791-2743 Ph: (225) 654-8208 | Tracie Champagne, 1326 Church St, Zachary, LA 70791-2743 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 |