Healthcare Provider Details

I. General information

NPI: 1467573758
Provider Name (Legal Business Name): NEW ORLEANS SPEECH AND HEARING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 02/09/2023
Certification Date: 02/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1636 TOLEDANO ST
NEW ORLEANS LA
70115-4542
US

IV. Provider business mailing address

1636 TOLEDANO ST
NEW ORLEANS LA
70115-4542
US

V. Phone/Fax

Practice location:
  • Phone: 504-897-2606
  • Fax: 504-891-6048
Mailing address:
  • Phone: 504-897-2606
  • Fax: 504-891-6048

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MR. LESLEY JERNIGAN
Title or Position: EXECUTIVE DIRECTOR
Credential: M.S.
Phone: 504-897-2606