Provider Demographics
NPI:1184459406
Name:BRIAN, ANNE-ELISE TAYLOR (CF-SLP)
Entity type:Individual
Prefix:
First Name:ANNE-ELISE
Middle Name:TAYLOR
Last Name:BRIAN
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8222 GREEN ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-2846
Mailing Address - Country:US
Mailing Address - Phone:504-388-9549
Mailing Address - Fax:
Practice Address - Street 1:3436 MAGAZINE ST # 8006
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-2480
Practice Address - Country:US
Practice Address - Phone:504-356-2025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA8740235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist