Provider Demographics
NPI:1356402366
Name:ROY, VICKY POSTON (PHD)
Entity type:Individual
Prefix:
First Name:VICKY
Middle Name:POSTON
Last Name:ROY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13223 WOODRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-5207
Mailing Address - Country:US
Mailing Address - Phone:225-802-9430
Mailing Address - Fax:888-531-1703
Practice Address - Street 1:9270 SIEGEN LN BLDG 803
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-0937
Practice Address - Country:US
Practice Address - Phone:225-802-9430
Practice Address - Fax:888-531-1703
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAS695235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist