Provider Demographics
NPI:1912225251
Name:DELTA SPEECH & LANGUAGE CONSULTANTS OF GREATER NEW ORLEANS, LLC
Entity type:Organization
Organization Name:DELTA SPEECH & LANGUAGE CONSULTANTS OF GREATER NEW ORLEANS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:JENNER
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MCD, L-SLP
Authorized Official - Phone:504-912-2034
Mailing Address - Street 1:1609 CAROL SUE AVE
Mailing Address - Street 2:
Mailing Address - City:TERRYTOWN
Mailing Address - State:LA
Mailing Address - Zip Code:70056-5116
Mailing Address - Country:US
Mailing Address - Phone:504-912-2034
Mailing Address - Fax:504-398-0943
Practice Address - Street 1:1609 CAROL SUE AVE
Practice Address - Street 2:
Practice Address - City:TERRYTOWN
Practice Address - State:LA
Practice Address - Zip Code:70056-5116
Practice Address - Country:US
Practice Address - Phone:504-912-2034
Practice Address - Fax:504-398-0943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-11
Last Update Date:2010-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5431261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech