Provider Demographics
NPI:1467573758
Name:NEW ORLEANS SPEECH AND HEARING CENTER
Entity Type:Organization
Organization Name:NEW ORLEANS SPEECH AND HEARING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LESLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:JERNIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:504-897-2606
Mailing Address - Street 1:1636 TOLEDANO ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-4542
Mailing Address - Country:US
Mailing Address - Phone:504-897-2606
Mailing Address - Fax:504-891-6048
Practice Address - Street 1:1636 TOLEDANO ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-4542
Practice Address - Country:US
Practice Address - Phone:504-897-2606
Practice Address - Fax:504-891-6048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAG7863OtherBLUE CROSS BLUE SHIELD
LA1069035Medicaid