Provider Demographics
NPI:1306445028
Name:LANDRY, MADDIE TOUPS (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:MADDIE
Middle Name:TOUPS
Last Name:LANDRY
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:MADDIE
Other - Middle Name:LYNNE
Other - Last Name:TOUPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CF-SLP
Mailing Address - Street 1:270 HIGHWAY 3185
Mailing Address - Street 2:
Mailing Address - City:THIBODAUX
Mailing Address - State:LA
Mailing Address - Zip Code:70301-7466
Mailing Address - Country:US
Mailing Address - Phone:985-449-0944
Mailing Address - Fax:985-449-0945
Practice Address - Street 1:270 HIGHWAY 3185
Practice Address - Street 2:
Practice Address - City:THIBODAUX
Practice Address - State:LA
Practice Address - Zip Code:70301-7466
Practice Address - Country:US
Practice Address - Phone:985-449-0944
Practice Address - Fax:985-449-0945
Is Sole Proprietor?:No
Enumeration Date:2020-10-23
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist