Provider Demographics
NPI:1104370329
Name:BECNEL, GABRIELLE RENEE (MCD, CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:GABRIELLE
Middle Name:RENEE
Last Name:BECNEL
Suffix:
Gender:F
Credentials:MCD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4937 HEARST ST
Mailing Address - Street 2:SUITE 2-F
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-1120
Mailing Address - Country:US
Mailing Address - Phone:504-779-0400
Mailing Address - Fax:504-779-8299
Practice Address - Street 1:4937 HEARST ST
Practice Address - Street 2:SUITE 2-F
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-1120
Practice Address - Country:US
Practice Address - Phone:504-779-0400
Practice Address - Fax:504-779-8299
Is Sole Proprietor?:No
Enumeration Date:2016-08-04
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7430235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist