Provider Demographics
NPI:1831835974
Name:MANUEL, JOURNEY KATELYN
Entity type:Individual
Prefix:
First Name:JOURNEY
Middle Name:KATELYN
Last Name:MANUEL
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 1:106 ROCKY RIDGE ST
Mailing Address - Street 2:
Mailing Address - City:YOUNGSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70592-6363
Mailing Address - Country:US
Mailing Address - Phone:337-967-2606
Mailing Address - Fax:
Practice Address - Street 1:601 W MAIN ST
Practice Address - Street 2:
Practice Address - City:DELCAMBRE
Practice Address - State:LA
Practice Address - Zip Code:70528-3600
Practice Address - Country:US
Practice Address - Phone:337-685-2595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-11
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist