IndividualActive
Mary Walters
NPI 1831717016 · Early Intervention Provider Agency · Lake Charles, LA
Provider details
- NPI number
- 1831717016
- Entity type
- Individual
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
5876 Mark Lebleu Rd
Lake Charles, LA 70615-4501
Phone: (337) 794-4207
Approximate (ZIP-level) locationGet directions
Mailing address
5876 Mark Lebleu Rd
Lake Charles, LA 70615-4501
Registry dates
- Enumerated
- 2020-07-14
- Last updated
- 2020-07-14
- Certified
- 2020-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.