Healthcare Provider Details

I. General information

NPI: 1649446683
Provider Name (Legal Business Name): BATON ROUGE SPEECH & HEARING FOUNDATION, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2008
Last Update Date: 04/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 W ROOSEVELT ST
BATON ROUGE LA
70802-7844
US

IV. Provider business mailing address

535 W ROOSEVELT ST
BATON ROUGE LA
70802-7844
US

V. Phone/Fax

Practice location:
  • Phone: 225-343-4232
  • Fax: 225-343-4233
Mailing address:
  • Phone: 225-343-4232
  • Fax: 225-343-4233

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateLA

VIII. Authorized Official

Name: MS. LYNDA BALLARD
Title or Position: ACCOUNTANT
Credential:
Phone: 225-343-4232