Provider Demographics
NPI:1477859189
Name:SLAYTER, ALLYSON MOREAU (ST)
Entity Type:Individual
Prefix:MS
First Name:ALLYSON
Middle Name:MOREAU
Last Name:SLAYTER
Suffix:
Gender:F
Credentials:ST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1241 BAYOU RD
Mailing Address - Street 2:
Mailing Address - City:CHENEYVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71325-9648
Mailing Address - Country:US
Mailing Address - Phone:318-305-6703
Mailing Address - Fax:
Practice Address - Street 1:1241 BAYOU RD
Practice Address - Street 2:
Practice Address - City:CHENEYVILLE
Practice Address - State:LA
Practice Address - Zip Code:71325-9648
Practice Address - Country:US
Practice Address - Phone:318-305-6703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-28
Last Update Date:2020-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5668235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist