Provider Demographics
NPI:1285272062
Name:SLAYTER THERAPY SERVICES
Entity type:Organization
Organization Name:SLAYTER THERAPY SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALLYSON
Authorized Official - Middle Name:MOREAU
Authorized Official - Last Name:SLAYTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-305-6703
Mailing Address - Street 1:1241 BAYOU RD
Mailing Address - Street 2:
Mailing Address - City:CHENEYVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71325-9648
Mailing Address - Country:US
Mailing Address - Phone:318-305-6703
Mailing Address - Fax:
Practice Address - Street 1:1915A GUS KAPLAN DR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-3355
Practice Address - Country:US
Practice Address - Phone:318-305-6703
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-12
Last Update Date:2020-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty