Jerilyn Elissa Agness, M.S. CCC-SLP
Speech-Language Pathologist, in Covington, LA. Individual provider (NPI-1).
NPI number1992003107
StatusActive
Last updated in NPPESMar 22, 2018
Details
- NPI
- 1992003107
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jerilyn Elissa Agness
- Credential
- M.S. CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 11, 2011
- Last updated
- Mar 22, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 6595 | LA | Yes |
| 235Z00000X | Speech-Language Pathologist, | SA9847 | FL |
Practice location
5001 Highway 190 East Service Rd Ste D6Covington, LA 70433-4956
Phone 985-805-2555 · Fax 985-400-5303
Mailing address
Po Box 1609Chalmette, LA 70044-1609
Phone 985-805-2555 · Fax 985-400-5303
Other practice locations
1544 Canal St
Lehigh Acres, FL 33936-5300
Lehigh Acres, FL 33936-5300
Phone 239-225-3682 · Fax 239-368-3622
330 Falconer Dr Ste D-F
Covington, LA 70433-8210
Covington, LA 70433-8210
Phone 985-805-2555 · Fax 985-400-5303
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All 115 Speech-Language Pathologist providers in Covington · All 2,520 providers in Covington
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