MRS. ALICIA FONDA MALLETT


Address: 1128 Hidden Oak Ln, Lake Charles, LA 70605-7123
Phone: 3377942744

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 7029 LA Speech, Language and Hearing Service Providers

Office Location

Street Address 1128 HIDDEN OAK LN
City LAKE CHARLES
State LA
Zip Code 70605-7123

Providers in the same location

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

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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
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City LAKE CHARLES
Zip Code 70605

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Dataset Information

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.

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