Provider Demographics
NPI:1437937687
Name:BELGARD, BRENDA KAY
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:KAY
Last Name:BELGARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3366 HIGHWAY 107
Mailing Address - Street 2:
Mailing Address - City:EFFIE
Mailing Address - State:LA
Mailing Address - Zip Code:71331-1729
Mailing Address - Country:US
Mailing Address - Phone:318-253-9591
Mailing Address - Fax:
Practice Address - Street 1:3366 HIGHWAY 107
Practice Address - Street 2:
Practice Address - City:EFFIE
Practice Address - State:LA
Practice Address - Zip Code:71331-1729
Practice Address - Country:US
Practice Address - Phone:318-253-9591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-19
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2381235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist