Jeanette Irene Buckley, M.C.D.

Speech-Language Pathologist, in Shreveport, LA. Individual provider (NPI-1).

NPI number1649508136

StatusActive

Last updated in NPPESNov 23, 2009

Details

NPI: 1649508136
Entity type: Individual (NPI-1)
Name: Jeanette Irene Buckley
Credential: M.C.D.
Sex: Female
Sole proprietor: Yes
Enumeration date: Nov 23, 2009
Last updated: Nov 23, 2009

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
235Z00000X	Speech-Language Pathologist,	5953	LA	Yes

Practice location

223 Russell Ave
Shreveport, LA 71105-3527

Phone 318-868-1547

Mailing address

223 Russell Ave
Shreveport, LA 71105-3527

Phone 318-868-1547

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Speech-Language Pathologist providers in Shreveport, LA

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