Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS AZELIA OCTAVEE GILLUM
Active Sole ProprietorMISS AZELIA OCTAVEE GILLUM is a Developmental Therapist healthcare provider located in SLIDELL, Louisiana. NPI 1124574421 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · SLIDELL, LA
Registration Details
- NPI Number
- 1124574421
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 28, 2016 (9.9677644476999 yrs)
- Last Updated
- Aug 28, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
2013 HEATHER LANESLIDELL, LA, 70461Browse LA providers · Browse ZIP 70461
- Phone
- 4025171351
- Primary Specialty
-
Developmental Therapist
222Q00000X
- Additional Specialty
- Developmental Therapist
Other Developmental Therapist Providers in SLIDELL, LA
| Name | Credential | NPI |
|---|---|---|
| SARAH SCAFIDEL | — | 1447633946 |
| MRS. TREVIS WILLIAMS | M.ED | 1689047128 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.