Provider Demographics
NPI:1104515808
Name:MICHELS, KATELYN MORGAN (MCD, CCC-SLP)
Entity type:Individual
Prefix:
First Name:KATELYN
Middle Name:MORGAN
Last Name:MICHELS
Suffix:
Gender:F
Credentials:MCD, CCC-SLP
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:
Other - Last Name:MICHELS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:KATIE MICHELS
Mailing Address - Street 1:501 PASSERA CT
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-4540
Mailing Address - Country:US
Mailing Address - Phone:561-319-6497
Mailing Address - Fax:
Practice Address - Street 1:2901 RIDGELAKE DR STE 102
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-4946
Practice Address - Country:US
Practice Address - Phone:504-354-8078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-08
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA8903235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist