Provider Demographics
NPI:1710700885
Name:MANUEL, ZOIE MARIE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:ZOIE
Middle Name:MARIE
Last Name:MANUEL
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:824 CAMERON CT
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-2908
Mailing Address - Country:US
Mailing Address - Phone:504-487-0181
Mailing Address - Fax:
Practice Address - Street 1:3837 LOYOLA DR
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-7703
Practice Address - Country:US
Practice Address - Phone:504-233-4720
Practice Address - Fax:504-229-6613
Is Sole Proprietor?:No
Enumeration Date:2024-11-06
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA9106235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist