Provider Demographics
NPI:1649909821
Name:STRAVATO, FELICIA HOPE (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:FELICIA
Middle Name:HOPE
Last Name:STRAVATO
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:439 LAIRD ST
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71291-7766
Mailing Address - Country:US
Mailing Address - Phone:318-237-0606
Mailing Address - Fax:
Practice Address - Street 1:CARVER ELEMENTARY SCHOOL
Practice Address - Street 2:1700 ORANGE ST.
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71202
Practice Address - Country:US
Practice Address - Phone:318-322-4245
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-06
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4119235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4119OtherLOUISIANA BOARD OF EXAMINERS SPEECH LANGUAGE PATHOLOGY & AUDIOLOGY
09126620OtherAMERICAN SPEECH LANGUAGE HEARING ASSOCIATION