Provider Demographics
NPI:1568667954
Name:CHRISTIE LEARNING CENTER
Entity Type:Organization
Organization Name:CHRISTIE LEARNING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:B
Authorized Official - Last Name:CHRISTIE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:337-981-9940
Mailing Address - Street 1:312 GUILBEAU RD
Mailing Address - Street 2:SUITE 4D
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-6952
Mailing Address - Country:US
Mailing Address - Phone:337-981-9940
Mailing Address - Fax:337-981-2531
Practice Address - Street 1:312 GUILBEAU RD
Practice Address - Street 2:SUITE 4D
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-6952
Practice Address - Country:US
Practice Address - Phone:337-981-9940
Practice Address - Fax:337-981-2531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty