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2612 Metairie Rd Metairie LA 70001-5426 | |
(504) 309-5679 | |
(504) 309-5694 |
Full Name | |
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Speciality | Clinic/center - Hearing And Speech |
Location | 2612 Metairie Rd, Metairie, Louisiana |
Authorized Official Name and Position | Kristen Kelly Spears (PRESIDENT/SLP) |
Authorized Official Contact | 5043886848 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2612 Metairie Rd Metairie LA 70001-5426 Ph: (504) 309-5679 | 2612 Metairie Rd Metairie LA 70001-5426 Ph: (504) 309-5679 |
NPI Number | 1710291786 |
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Provider Enumeration Date | 08/02/2010 |
Last Update Date | 03/12/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710291786 | NPI | - | NPPES |
2350005 | Medicaid | LA | |
1814105 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 1-10-7637 (Louisiana) | Secondary |
261QH0700X | Clinic/center - Hearing And Speech | (* (Not Available)) | Primary |
Lynn J. Friedman, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4721 Loveland St, Metairie, LA 70006 Phone: 504-455-6569 | |
Bianchini-etherton Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3939 Houma Blvd, Suite #223, Metairie, LA 70006 Phone: 504-780-1702 Fax: 504-780-1705 | |