Provider Demographics
NPI:1760181366
Name:PLAUCHE, ANGELLE MARIE (MCD, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ANGELLE
Middle Name:MARIE
Last Name:PLAUCHE
Suffix:
Gender:F
Credentials:MCD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37278 MARKET PLACE DR
Mailing Address - Street 2:
Mailing Address - City:PRAIRIEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70769-3487
Mailing Address - Country:US
Mailing Address - Phone:225-744-1717
Mailing Address - Fax:225-744-1718
Practice Address - Street 1:37278 MARKET PLACE DR
Practice Address - Street 2:
Practice Address - City:PRAIRIEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70769-3487
Practice Address - Country:US
Practice Address - Phone:225-744-1717
Practice Address - Fax:225-744-1718
Is Sole Proprietor?:No
Enumeration Date:2023-03-02
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA9062235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist