Provider Demographics
NPI:1467756429
Name:SLAUGHTER, KEI (MT-BC)
Entity Type:Individual
Prefix:
First Name:KEI
Middle Name:
Last Name:SLAUGHTER
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:KEI
Other - Middle Name:
Other - Last Name:SLAUGHTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MT-BC
Mailing Address - Street 1:1760 N TONTI ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-1555
Mailing Address - Country:US
Mailing Address - Phone:504-782-4582
Mailing Address - Fax:
Practice Address - Street 1:1760 N TONTI ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-1555
Practice Address - Country:US
Practice Address - Phone:504-782-4582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-05
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA09500225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist