Provider Demographics
NPI:1922235373
Name:LITTLES, ALTHEA (SLP)
Entity Type:Individual
Prefix:MS
First Name:ALTHEA
Middle Name:
Last Name:LITTLES
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 83
Mailing Address - Street 2:
Mailing Address - City:GROSSE TETE
Mailing Address - State:LA
Mailing Address - Zip Code:70740-0083
Mailing Address - Country:US
Mailing Address - Phone:225-648-2147
Mailing Address - Fax:
Practice Address - Street 1:76855 GARNER LANE
Practice Address - Street 2:
Practice Address - City:GROSSE TETE
Practice Address - State:LA
Practice Address - Zip Code:70740-0083
Practice Address - Country:US
Practice Address - Phone:225-648-2147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-12
Last Update Date:2009-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1385235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist