Provider Demographics
NPI:1043948219
Name:FITZHUGH, JANA LEA (SLP)
Entity Type:Individual
Prefix:MRS
First Name:JANA
Middle Name:LEA
Last Name:FITZHUGH
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:178 SATERFIEL RD
Mailing Address - Street 2:
Mailing Address - City:STERLINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:71280-3111
Mailing Address - Country:US
Mailing Address - Phone:318-372-0918
Mailing Address - Fax:
Practice Address - Street 1:800 CLAIBORNE ST
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-2612
Practice Address - Country:US
Practice Address - Phone:318-432-5400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-15
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3888235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist