Provider Demographics
NPI:1851425441
Name:MARCEL, MONIKA (MA, CCC-A)
Entity Type:Individual
Prefix:
First Name:MONIKA
Middle Name:
Last Name:MARCEL
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 LOLA ST
Mailing Address - Street 2:
Mailing Address - City:GRAY
Mailing Address - State:LA
Mailing Address - Zip Code:70359-3016
Mailing Address - Country:US
Mailing Address - Phone:985-876-3342
Mailing Address - Fax:
Practice Address - Street 1:711 GRINAGE ST
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-4533
Practice Address - Country:US
Practice Address - Phone:985-851-1550
Practice Address - Fax:985-851-6525
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3673231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist