Provider Demographics
NPI:1427629799
Name:DOLLAR-WYATT, ALANA CATHERINE (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:ALANA
Middle Name:CATHERINE
Last Name:DOLLAR-WYATT
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 1:130 FLAGSTONE DR
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71291-3800
Mailing Address - Country:US
Mailing Address - Phone:318-537-3755
Mailing Address - Fax:
Practice Address - Street 1:700 KIROLI RD
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-4947
Practice Address - Country:US
Practice Address - Phone:318-396-1118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-07
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA8838235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist