Provider Demographics
NPI:1578727376
Name:FILPPULA, JANET MAY (CCC SLP)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:MAY
Last Name:FILPPULA
Suffix:
Gender:F
Credentials:CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7297
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71137-7297
Mailing Address - Country:US
Mailing Address - Phone:318-525-2404
Mailing Address - Fax:
Practice Address - Street 1:360 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71104-2426
Practice Address - Country:US
Practice Address - Phone:318-525-2404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-11
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5887235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist