MEDICARE: MRS. DEE ANN PRICE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	5418	LA
2	237600000X	Audiologist-Hearing Aid Fitter	5418	LA

General Provider Information

NPI Number	:	1093968760
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DEE ANN PRICE

Provider Business Mailing Address
First Line	:	4333 SEMINARY PL
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70126-4622
Country	:	US
Telephone Number	:	504-881-4005
Fax Number	:	504-349-8685

Provider Business Practice Location Address
First Line	:	4333 SEMINARY PL
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70126-4622
Country	:	US
Telephone Number	:	504-881-4005
Fax Number	:	504-349-8685

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2008
Last Update Date	:	10/28/2008

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Directions to “ MRS. DEE ANN PRICE ” Practice Location

Language	Start Address	Practice Location

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