ETHAN HYATT

LAKE CHARLES, LA
NPI1801358270
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: LA  8106)
Enumeration Date2019-04-03
Last Update Date2019-04-03
Business Address
ETHAN HYATT SLP
1727 IMPERIAL BLVD BLDG 3
LAKE CHARLES, LA 70605-5393
Phone number: 337-478-5880
Mailing Address
ETHAN HYATT SLP
1727 IMPERIAL BLVD BLDG 3
LAKE CHARLES, LA 70605-5393
Phone number: 337-478-5880
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