Provider Demographics
NPI:1841014032
Name:MARSHALL, KARLA (SLP)
Entity type:Individual
Prefix:MISS
First Name:KARLA
Middle Name:
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 MANHATTAN BLVD BLDG D100
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-3596
Mailing Address - Country:US
Mailing Address - Phone:504-345-2984
Mailing Address - Fax:
Practice Address - Street 1:4219 MAGNOLIA ST STE 207
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-6207
Practice Address - Country:US
Practice Address - Phone:504-345-2984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-13
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA9481235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty