Provider Demographics
NPI:1639331440
Name:GUILLOT, DEANNA V (MS, SLP-CCC)
Entity Type:Individual
Prefix:
First Name:DEANNA
Middle Name:V
Last Name:GUILLOT
Suffix:
Gender:F
Credentials:MS, SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5988 HIGHWAY 128
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:LA
Mailing Address - Zip Code:71336-3810
Mailing Address - Country:US
Mailing Address - Phone:318-237-0138
Mailing Address - Fax:
Practice Address - Street 1:3326 FRONT ST STE B
Practice Address - Street 2:
Practice Address - City:WINNSBORO
Practice Address - State:LA
Practice Address - Zip Code:71295-6418
Practice Address - Country:US
Practice Address - Phone:318-435-7333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-02
Last Update Date:2019-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235Z00000X
LA5929235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist