Provider Demographics
NPI:1669636635
Name:DUNCAN, MONIQUE L (MS,, SLP)
Entity Type:Individual
Prefix:
First Name:MONIQUE
Middle Name:L
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:MS,, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 EVERGREEN AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70114-5914
Mailing Address - Country:US
Mailing Address - Phone:504-872-9414
Mailing Address - Fax:
Practice Address - Street 1:1900 EVERGREEN AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114-5914
Practice Address - Country:US
Practice Address - Phone:504-872-9414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-17
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5321235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist