Dejae Jasmin, BS
Speech-Language Pathologist, in Vacherie, LA. Individual provider (NPI-1).
NPI number1982170197
StatusActive
Last updated in NPPESDec 12, 2023
Details
- NPI
- 1982170197
- Entity type
- Individual (NPI-1)
- Name
- Dejae Jasmin
- Credential
- BS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 16, 2018
- Certification date
- Dec 12, 2023
- Last updated
- Dec 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 8041 | LA | Yes |
| 2355S0801X | Specialist/Technologist, Speech-Language Assistant | 8041 | LA |
Practice location
3245 Valcour Aime StVacherie, LA 70090-7003
Phone 225-590-4408
Mailing address
13197 Desire StVacherie, LA 70090-4327
Phone 225-590-4408
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