Provider Demographics
NPI:1912676420
Name:DEROUEN, LEXI SONNIER (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LEXI
Middle Name:SONNIER
Last Name:DEROUEN
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 1:104 PLACIDE DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-1606
Mailing Address - Country:US
Mailing Address - Phone:337-277-5082
Mailing Address - Fax:
Practice Address - Street 1:418 ALBERTSON PKWY
Practice Address - Street 2:
Practice Address - City:BROUSSARD
Practice Address - State:LA
Practice Address - Zip Code:70518-4971
Practice Address - Country:US
Practice Address - Phone:337-839-9005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-08
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA8150235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist