Healthcare Provider Details

I. General information

NPI: 1033057583
Provider Name (Legal Business Name): TAYLOR MICHELE DECORTE M.S. CCC SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19550 N 10TH ST
COVINGTON LA
70433-8831
US

IV. Provider business mailing address

433 METAIRIE RD
METAIRIE LA
70005-4333
US

V. Phone/Fax

Practice location:
  • Phone: 504-833-6730
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number9794
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: