MRS. ALICIA FONDA MALLETT (NPI# 1861051310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861051310 |
Entity Type | Individual |
Full Name | MRS. ALICIA FONDA MALLETT |
Other Name | FONDA PRADO MALLETT |
Practice Address |
1128 Hidden Oak Ln Lake Charles LA 70605-7123 |
Practice Telephone | 3377942744 |
Mailing Telephone | 3377942744 |
Enumeration Date | 2019-06-09 |
Last Update Date | 2019-06-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 235Z00000X | Speech-Language Pathologist | 7029 | LA | Speech, Language and Hearing Service Providers |
Street Address |
1128 HIDDEN OAK LN |
City | LAKE CHARLES |
State | LA |
Zip Code | 70605-7123 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104806124 | Carl G Mallett | Nurse Anesthetist, Certified Registered | 1128 Hidden Oak Ln, Lake Charles, LA 70605-7123 | 2006-01-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780283606 | Kristin R Morris | Clinical Nurse Specialist | 1900 W. Gaythier Rd, Lake Charles, LA 70605 | 2020-10-21 |
1548871577 | Jacob M Theriot | Nurse Practitioner | 2640 County Club Rd., Lake Charles, LA 70605 | 2020-08-13 |
1053898403 | Heather Spallino Duplechain | Nurse Practitioner | 6713 Nelson Rd., Lake Charles, LA 70605 | 2018-07-27 |
1578057956 | Noor Deeb Weckerly | Nurse Practitioner | 6713 Nelson Rd, Lake Charles, LA 70605 | 2018-06-19 |
1861993354 | Therapy Works of Swla LLC | Physical Therapist | 4750 Lake Street, Lake Charles, LA 70605 | 2018-02-21 |
1669998852 | Amd Healthcare Lc, LLC | General Acute Care Hospital | 3730 Nelson Road, Lake Charles, LA 70605 | 2017-08-18 |
1619422474 | Kaitlyn Pinkerton | Specialist/Technologist | 800 E Mcneese St, Lake Charles, LA 70605 | 2016-08-22 |
1104274679 | Kelly Rogers | Counselor | 90 N. Luke 102l, Lafayette, LA 70605 | 2016-05-25 |
1548616220 | Lisa Monticello Snider | Neurological Surgery | 3297 Portrush Drive, Lake Charles, LA 70605 | 2016-05-11 |
1114387404 | Louisiana Dental Professionals, Donovan Dronet, Dds, A Professional De | Dentist | 4459 Nelson Rd, Suite 120, Lake Charles, LA 70605 | 2016-02-29 |
Find all providers in zip 70605 |
Taxonomy Code | 235Z00000X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | 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, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730702036 | Laurie Stone Hammond | Speech-Language Pathologist | 4604 Sheryl Ln, Lake Charles, LA 70605-5179 | 2020-05-20 |
1104474568 | Margie L Carlin | Speech-Language Pathologist | 644 Jake St, Lake Charles, LA 70601-1943 | 2019-08-29 |
1881150993 | Katelyn Ann Huval | Speech-Language Pathologist | 2507 Carlo Henry Rd, Lake Charles, LA 70607-7583 | 2019-02-13 |
1932686219 | Stacy Nicole Fontenot | Speech-Language Pathologist | 1905 Tybee Ln, Lake Charles, LA 70605-4172 | 2018-07-19 |
1821596818 | Cassie Dingler Gage | Speech-Language Pathologist | 4112 Lake St, Lake Charles, LA 70605-4306 | 2018-01-25 |
1639530710 | Paige Davidson | Speech-Language Pathologist | 1513 22nd St, Lake Charles, LA 70601-8821 | 2016-03-16 |
1649682493 | Megan Smith Musso | Speech-Language Pathologist | 852 University Dr, Lake Charles, LA 70605-6120 | 2014-05-28 |
1013344720 | Jana Hounchell | Speech-Language Pathologist | 6792 Calder St, Lake Charles, LA 70605-0197 | 2013-09-27 |
1427335405 | Kathleen Yvette Jones | Speech-Language Pathologist | 925 Suburban Dr, Lake Charles, LA 70611-6218 | 2011-11-04 |
1790061133 | Michelle A Shumate | Speech-Language Pathologist | 599 Rolling Hill Dr, Lake Charles, LA 70611-5012 | 2011-10-31 |
Find all providers in LAKE CHARLES |
City | LAKE CHARLES |
Zip Code | 70605 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.