Informed Dysphagia Diagnostics LLC

Speech-Language Pathologist · Hammond, LA

Organization Active NPI

NPI number 1336747237

Practice location

1201 Derek Dr Ste 1
Hammond, LA 70403-5755
Phone
(985) 805-2555

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NPI record

NPI
1336747237
Entity type
Organization (Type 2)
Enumeration date
October 13, 2020
Last updated
October 13, 2020
Certified
October 13, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X — —

Mailing address

64300 Bullock Creek Rd
Kentwood, LA 70444-6284

Authorized official

Name
William Blackburn
Title
Owner
Phone
(203) 371-7311

About Informed Dysphagia Diagnostics LLC

Informed Dysphagia Diagnostics LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 1201 Derek Dr Ste 1, Hammond, LA 70403-5755. The NPI number 1336747237 was assigned on October 13, 2020 and the record was last updated on October 13, 2020.

The authorized official for this organization is William Blackburn, Owner.

Frequently asked questions

What is the NPI number of Informed Dysphagia Diagnostics LLC?

The NPI number is 1336747237.

What is the phone number of Informed Dysphagia Diagnostics LLC?

The phone number listed for the practice location is (985) 805-2555.

Where is Informed Dysphagia Diagnostics LLC located?

1201 Derek Dr Ste 1, Hammond, LA 70403-5755.

What is the taxonomy code for Informed Dysphagia Diagnostics LLC?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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