Provider Demographics
NPI:1588549919
Name:TARVER, ALAINA DESHOTEL (MS, CCC-SLP,L-SLP)
Entity type:Individual
Prefix:
First Name:ALAINA
Middle Name:DESHOTEL
Last Name:TARVER
Suffix:
Gender:F
Credentials:MS, CCC-SLP,L-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 CRESCENT VIEW LN
Mailing Address - Street 2:
Mailing Address - City:DUSON
Mailing Address - State:LA
Mailing Address - Zip Code:70529-3392
Mailing Address - Country:US
Mailing Address - Phone:985-714-2613
Mailing Address - Fax:
Practice Address - Street 1:415 E LOUGARRE ST
Practice Address - Street 2:
Practice Address - City:CHURCH POINT
Practice Address - State:LA
Practice Address - Zip Code:70525-4112
Practice Address - Country:US
Practice Address - Phone:337-684-5722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA9358235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist