IndividualActive
Divante Irby
NPI 1336875368 · Speech-Language Assistant · Clinton, LA
Provider details
- NPI number
- 1336875368
- Entity type
- Individual
- Primary specialty
- Speech-Language AssistantSpeech, Language and Hearing Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
12732 Silliman St
Clinton, LA 70722-3402
Phone: (225) 683-5922
Approximate (ZIP-level) locationGet directions
Mailing address
12732 Silliman St
Clinton, LA 70722-3402
Registry dates
- Enumerated
- 2022-08-01
- Last updated
- 2022-08-01
- Certified
- 2022-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.