Provider Demographics
NPI:1821548389
Name:LECOQ, BOBBI (MS CF-SLP)
Entity Type:Individual
Prefix:
First Name:BOBBI
Middle Name:
Last Name:LECOQ
Suffix:
Gender:F
Credentials:MS CF-SLP
Other - Prefix:
Other - First Name:BOBBI
Other - Middle Name:MARIE
Other - Last Name:COMEAUX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:211 PORTSMOUTH DR
Mailing Address - Street 2:
Mailing Address - City:BROUSSARD
Mailing Address - State:LA
Mailing Address - Zip Code:70518-3540
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:211 PORTSMOUTH DR
Practice Address - Street 2:
Practice Address - City:BROUSSARD
Practice Address - State:LA
Practice Address - Zip Code:70518-3540
Practice Address - Country:US
Practice Address - Phone:337-459-7756
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-09
Last Update Date:2016-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7607235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist