Most Relevant Information
Provider Data
| NPI Number: | 1003574948 |
| Provider Name: | MARY CHENEVERT MS, CF-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 8857 |
Most Important Dates
| Enumeration Date: | 12/07/2021 |
| Last Updated: | 12/07/2021 |
Provider Practice Location
7406 HIGHWAY 1 STE 102
MANSURA
LA
713504230
Practice Location Phone/Fax
| Phone: | 3182407680 |
| Fax: | 3182407681 |
Provider Mailing Location
PO BOX 849
JENNINGS
LA
705460849
Provider Mailing Phone/Fax
| Phone: | 3378248287 |
| Fax: | 3378248290 |