Children's Speech & Hearing Clinic, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7066 Issued in LA

Legal business name

CHILDREN'S SPEECH & HEARING CLINIC, LLC

Practice address

123 Metairie Rd Ste 203
Metairie, LA 70005-4537

Phone

(504) 579-4886

NPI assigned

Apr 12, 2017

Last updated

Apr 12, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Tara C Quin, MCD, CCC-SLP

Title

Speech Pathologist/Owner

Phone

(504) 579-4886

Specialties & licenses 1

Addresses

Other names 1

• Children's Speech & Hearing Clinic Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1437683851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 METAIRIE RD STE 203",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700054537",
            "telephone_number": "504-579-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 METAIRIE RD STE 203",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700054537",
            "telephone_number": "504-579-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S SPEECH & HEARING CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-12",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "QUIN",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "504-579-4886",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MCD, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "7066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Speech & Hearing Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Autumn C Chisenhall, DO
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• Speech-Language Pathologist in Metairie, LA
• Providers in Metairie, LA by specialty
• Speech-Language Pathologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.