Provider Demographics
NPI:1427385111
Name:THE CHESNEY CENTER FOR SPEECH, LANGUAGE & LISTENING, LLC
Entity Type:Organization
Organization Name:THE CHESNEY CENTER FOR SPEECH, LANGUAGE & LISTENING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:PRIVETT
Authorized Official - Last Name:CHESNEY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC/SLP
Authorized Official - Phone:225-802-7748
Mailing Address - Street 1:5536 SUPERIOR DR
Mailing Address - Street 2:STE C
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6064
Mailing Address - Country:US
Mailing Address - Phone:225-302-5030
Mailing Address - Fax:225-372-2604
Practice Address - Street 1:5536 SUPERIOR DR
Practice Address - Street 2:STE C
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-6064
Practice Address - Country:US
Practice Address - Phone:225-302-5030
Practice Address - Fax:225-372-2604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-17
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3089261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech