Provider Demographics
NPI:1962024919
Name:SOILEAU, KENDA
Entity Type:Individual
Prefix:
First Name:KENDA
Middle Name:
Last Name:SOILEAU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:452 KENDALL RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71292-2478
Mailing Address - Country:US
Mailing Address - Phone:318-366-5885
Mailing Address - Fax:
Practice Address - Street 1:800 CLAIBORNE ST
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-2612
Practice Address - Country:US
Practice Address - Phone:318-432-5400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-13
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist