Provider Demographics
NPI:1700027588
Name:NEW ORLEANS ORAL SCHOOL
Entity Type:Organization
Organization Name:NEW ORLEANS ORAL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:K
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:MCD, CCC-SLP
Authorized Official - Phone:504-885-1606
Mailing Address - Street 1:4000 W ESPLANADE AVE S
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-3073
Mailing Address - Country:US
Mailing Address - Phone:504-885-1606
Mailing Address - Fax:504-885-2603
Practice Address - Street 1:4000 W ESPLANADE AVE S
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-3073
Practice Address - Country:US
Practice Address - Phone:504-885-1606
Practice Address - Fax:504-885-2603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-09
Last Update Date:2009-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1527360Medicaid
LA1527360Medicaid