Informed Dysphagia Diagnostics LLC
Speech-Language Pathologist, in Hammond, LA. Organization (NPI-2).
NPI number1336747237
StatusActive
Last updated in NPPESOct 13, 2020
Details
- NPI
- 1336747237
- Entity type
- Organization (NPI-2)
- Legal business name
- Informed Dysphagia Diagnostics LLC
- Organization subpart
- No
- Enumeration date
- Oct 13, 2020
- Certification date
- Oct 13, 2020
- Last updated
- Oct 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
1201 Derek Dr Ste 1Hammond, LA 70403-5755
Phone 985-805-2555
Mailing address
64300 Bullock Creek RdKentwood, LA 70444-6284
Authorized official
William Blackburn
Owner
2033717311
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All 66 Speech-Language Pathologist providers in Hammond · All 2,387 providers in Hammond
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