Provider Demographics
NPI:1245471432
Name:FOLKS, CHRISTY JO (MS CCC SLP)
Entity type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:JO
Last Name:FOLKS
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:MRS
Other - First Name:CHRIS
Other - Middle Name:
Other - Last Name:FOLKS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:236 SYCAMORE ST
Mailing Address - Street 2:
Mailing Address - City:RACELAND
Mailing Address - State:LA
Mailing Address - Zip Code:70394-2739
Mailing Address - Country:US
Mailing Address - Phone:985-991-7981
Mailing Address - Fax:
Practice Address - Street 1:236 SYCAMORE ST
Practice Address - Street 2:
Practice Address - City:RACELAND
Practice Address - State:LA
Practice Address - Zip Code:70394-2739
Practice Address - Country:US
Practice Address - Phone:985-991-7981
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-17
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5712235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist