Provider Demographics
NPI:1396527735
Name:DELATORRE, CHARLOTTE ROGERS (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:CHARLOTTE
Middle Name:ROGERS
Last Name:DELATORRE
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1207 MIDWAY RD
Mailing Address - Street 2:
Mailing Address - City:SLAUGHTER
Mailing Address - State:LA
Mailing Address - Zip Code:70777-3011
Mailing Address - Country:US
Mailing Address - Phone:225-270-1073
Mailing Address - Fax:
Practice Address - Street 1:3755 CHURCH ST
Practice Address - Street 2:
Practice Address - City:ZACHARY
Practice Address - State:LA
Practice Address - Zip Code:70791-3040
Practice Address - Country:US
Practice Address - Phone:225-397-0139
Practice Address - Fax:225-685-7379
Is Sole Proprietor?:No
Enumeration Date:2023-10-19
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4993235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist