Provider Demographics
NPI:1538034988
Name:RICHE, SHELBY BREAUX (MS, L-SLP,CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:SHELBY
Middle Name:BREAUX
Last Name:RICHE
Suffix:
Gender:F
Credentials:MS, L-SLP,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 LA RUE FRANCE STE 108
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-3136
Mailing Address - Country:US
Mailing Address - Phone:337-242-7931
Mailing Address - Fax:
Practice Address - Street 1:304 LA RUE FRANCE STE 108
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-3136
Practice Address - Country:US
Practice Address - Phone:337-242-7931
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-07
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA9620235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist