Provider Demographics
NPI:1073246112
Name:NOLA SPEECH & LANGUAGE
Entity Type:Organization
Organization Name:NOLA SPEECH & LANGUAGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LESLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:504-400-4239
Mailing Address - Street 1:435 AUDUBON BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70125-3503
Mailing Address - Country:US
Mailing Address - Phone:504-400-4239
Mailing Address - Fax:877-785-2820
Practice Address - Street 1:435 AUDUBON BLVD
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70125-3503
Practice Address - Country:US
Practice Address - Phone:504-400-4239
Practice Address - Fax:877-785-2820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-06
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty