Provider Demographics
NPI:1447561808
Name:HUBBARD & TENNYSON, LLC
Entity Type:Organization
Organization Name:HUBBARD & TENNYSON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:G
Authorized Official - Last Name:HUBBARD
Authorized Official - Suffix:
Authorized Official - Credentials:MED,CCC,SLP
Authorized Official - Phone:504-957-7762
Mailing Address - Street 1:6260 PROVIDENCE PL
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70126-1011
Mailing Address - Country:US
Mailing Address - Phone:504-957-7762
Mailing Address - Fax:504-218-7097
Practice Address - Street 1:6260 PROVIDENCE PL
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70126-1011
Practice Address - Country:US
Practice Address - Phone:504-957-7762
Practice Address - Fax:504-218-7097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-30
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency