Provider Demographics
NPI:1629850664
Name:LAMLE, KRISTA (MS CF-SLP)
Entity Type:Individual
Prefix:
First Name:KRISTA
Middle Name:
Last Name:LAMLE
Suffix:
Gender:F
Credentials:MS CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 ELINA LN
Mailing Address - Street 2:
Mailing Address - City:BALDWIN
Mailing Address - State:LA
Mailing Address - Zip Code:70514-1448
Mailing Address - Country:US
Mailing Address - Phone:337-940-1434
Mailing Address - Fax:
Practice Address - Street 1:9225 LA - 182
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:LA
Practice Address - Zip Code:70522
Practice Address - Country:US
Practice Address - Phone:337-836-5103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA9390235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist