LACEY J MCBRIDE


Address: 2522 E 70th St, Shreveport, LA 71105-4002
Phone: 3187953388

LACEY J MCBRIDE (NPI# 1891015855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891015855
Entity Type Individual
Full Name LACEY J MCBRIDE
Other Name LACEY J MONTIE
Credential M.S., CCC-SLP
Practice Address 2522 E 70th St
Shreveport
LA 71105-4002
Practice Telephone 3187953388
Practice Fax Number 3187953399
Mailing Telephone 3187953388
Mailing Fax Number 3187953399
Enumeration Date 2010-06-01
Last Update Date 2012-07-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 6571 LA Speech, Language and Hearing Service Providers
N 235Z00000X Speech-Language Pathologist 105034 TX Speech, Language and Hearing Service Providers

Office Location

Street Address 2522 E 70TH ST
City SHREVEPORT
State LA
Zip Code 71105-4002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013524875 Elizabeth Mae Fargerson Assistant Behavior Analyst 2522 E 70th St, Shreveport, LA 71105-4002 2020-09-25
1033727565 Olivia Felsher-smith Behavior Technician 2522 E 70th St, Shreveport, LA 71105-4002 2020-07-21
1760090245 Doughty Mccall Cowart Behavior Technician 2522 E 70th St, Shreveport, LA 71105-4002 2020-07-21
1639787153 Kristyn Alyse Peacock Behavior Technician 2522 E 70th St, Shreveport, LA 71105-4002 2020-07-21
1003430471 Ashley King Behavioral Analyst 2522 E 70th St, Shreveport, LA 71105-4002 2020-06-02
1922635416 Erika Loren Tejada Speech-Language Pathologist 2522 E 70th St, Shreveport, LA 71105-4002 2020-03-24
1760018477 Mary Katherine Walker Speech-Language Pathologist 2522 E 70th St, Shreveport, LA 71105-4002 2020-03-14
1801434428 Savanna Taelor Witthoeft Behavior Technician 2522 E 70th St, Shreveport, LA 71105-4002 2019-12-13
1164068615 Megan Theriot Behavior Technician 2522 E 70th St, Shreveport, LA 71105-4002 2019-11-20
1114562253 Amber S Wynn Behavior Technician 2522 E 70th St, Shreveport, LA 71105-4002 2019-11-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699245928 Misty Johnetta Ross Counselor 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 2018-11-29
1205301868 Tatjhana Maury Case Manager/Care Coordinator 3325 Youree Drive, Shreveport, LA 71105 2018-10-10
1245710920 Jefferey Douglas Adair Md Non-Pharmacy Dispensing Site 8860 Fern Ave., Suite 120, Shreveport, LA 71105 2018-08-21
1679059539 Michael E Woolbert Dds LLC Dentist 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 2018-07-13
1881195675 Adiba Bibi Pharmacist 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 2018-02-27
1740796655 Allison Borel Counselor 2020 E 70th St Ste 201, Shreveport, LA 71105 2017-12-15
1073028148 Valerie Wooten Barcelona Physical Therapist 130 Kayla Street, Shreveport, LA 71105 2017-12-11
1710497615 Jimmy Carroll Counselor 2960 Knight St, Suite 110, Shreveport, LA 71105 2017-10-05
1932618444 David Louis Bennett Counselor 3007 Knight St., Suite 200, Shreveport, LA 71105 2017-09-27
1619496452 Shaqwana Hodge Counselor 2920 Knight St. Suite 110, Shreveport, LA 71105 2017-09-13
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689295370 Jennifer Martin Cloutet Speech-Language Pathologist 8842 Mccain Rd, Shreveport, LA 71107-9245 2020-05-04
1851924237 Jeter Speech Language Pathology Services, LLC Speech-Language Pathologist 31 Spring Lake Way, Shreveport, LA 71106-4700 2020-02-13
1952952863 Renee M Humpal Speech-Language Pathologist 7606 Tampa Way, Shreveport, LA 71105-5407 2019-09-23
1932765401 Curtistine Louann Earnest Speech-Language Pathologist 6117 Verona Ln, Shreveport, LA 71105-4831 2019-05-10
1295298388 Rebecca Durr Speech-Language Pathologist 9533 Rochel Dr, Shreveport, LA 71115-3854 2019-04-07
1184111767 Rachel Gernand Speech-Language Pathologist 1800 Buckner St Ste C247, Shreveport, LA 71101-4440 2018-04-18
1215453907 Becky Evans Speech-Language Pathologist 8870 Youree Dr Ste 208, Shreveport, LA 71115-2512 2017-08-15
1851812846 Mary Beth Tucker Speech-Language Pathologist 141 Dalton St, Shreveport, LA 71106-7401 2017-06-29
1518488733 Gisele Proby Bryant Speech-Language Pathologist 6007 Financial Plz Ste 223, Shreveport, LA 71129-2657 2017-06-28
1689109027 Ashley Serwan Speech-Language Pathologist 2522 E.70th Street, Shreveport, LA 71105 2017-04-24
Find all providers in SHREVEPORT

Competitor

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City SHREVEPORT
Zip Code 71105

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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