Healthcare Provider Details

I. General information

NPI: 1033043302
Provider Name (Legal Business Name): NJN SPEECH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 HUDSON LN STE 7
MONROE LA
71201-6054
US

IV. Provider business mailing address

206 RAYMOND DR
MONROE LA
71203-2435
US

V. Phone/Fax

Practice location:
  • Phone: 318-361-7180
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: NATASHA JORDAN NGUYEN
Title or Position: MANAGING MEMBER
Credential: M.S., PL-SLP
Phone: 318-537-1501