LOUISIANA TECH SPEECH AND HEARING CENTER (NPI# 1184112658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184112658 |
| Entity Type | Organization |
| Organization Name | LOUISIANA TECH SPEECH AND HEARING CENTER |
| Practice Address |
509 W Alabama Ave Ruston LA 71270-4231 |
| Mailing Address |
Po Box 3165 Ruston LA 71272-0001 |
| Practice Telephone | 3182572438 |
| Practice Fax Number | 3182575986 |
| Mailing Telephone | 3182574764 |
| Mailing Fax Number | 3182574492 |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2018-04-30 |
| Authorized Official Name | DR. BRENDA HEIMAN (HEAD) |
| Authorized Official Telephone | 3182574764 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 231HA2400X |
Audiologist Specialization: Assistive Technology Practitioner |
5555 | LA | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 2197 | LA | Speech, Language and Hearing Service Providers |
| Y | 231HA2400X |
Audiologist Specialization: Assistive Technology Practitioner |
5681 | LA | Speech, Language and Hearing Service Providers |
| Street Address |
509 W ALABAMA AVE |
| City | RUSTON |
| State | LA |
| Zip Code | 71270-4231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275658239 | Melinda F Bryan | Audiologist | 509 W Alabama Ave, Ruston, LA 71270-4231 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821315 | Olivia Mason | Marriage & Family Therapist | 413 North Homer Street, Ruston, LA 71270 | 2020-11-04 |
| 1972146132 | Razz Addiction and Recovery, LLC | Family Medicine | 570 Heard Rd, Ruston, LA 71270 | 2019-10-21 |
| 1518435999 | Tenia Holloway | Case Manager/Care Coordinator | 612 Henderson St., F12, Ruston, LA 71270 | 2018-11-05 |
| 1245708718 | A Plus Medical of Ruston LLC | Family Medicine | 612 S Farmerville Street, Ruston, LA 71270 | 2018-11-02 |
| 1255808085 | Amanda M Clark | Specialist/Technologist | 2301 Timberline Ct Apt F105, Ruston, LA 71270 | 2018-10-30 |
| 1912473752 | Lincoln Nova Vital Recovery | Counselor | 4396 Hwy, 80, 617 South Trention, Ruston, LA 71270 | 2018-10-19 |
| 1861975237 | Wymeka Andrea Breaux | Case Manager/Care Coordinator | 705 Martin Luther King Dr., Ruston, LA 71270 | 2018-09-12 |
| 1790292001 | Louquyhanta Foster | Case Manager/Care Coordinator | 593 Belton Rd, Ruston, LA 71270 | 2018-01-08 |
| 1609391010 | Chemia Herron | Counselor | 775 S Bonner, Ruston, LA 71270 | 2017-08-07 |
| 1477083517 | Arnesha Beard | Counselor | 775 South Bonner, Ruston, LA 71270 | 2017-06-12 |
| Find all providers in zip 71270 | ||||
| Taxonomy Code | 231HA2400X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| Specialization | Assistive Technology Practitioner |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275658239 | Melinda F Bryan | Audiologist | 509 W Alabama Ave, Ruston, LA 71270-4231 | 2007-03-20 |
| 1619092137 | Steven Glen Madix | Audiologist | 120 Robinson Hall, Ruston, LA 71272-0001 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033239652 | Scallan Hearing Aid & Audiology Center Inc | Audiologist | 8211 Goodwood Blvd, Suite B, Baton Rouge, LA 70806-7740 | 2007-03-29 |
| 1144573965 | Premier Hearing and Balance, LLC | Audiologist | 16038 Doctors Blvd, Hammond, LA 70403-1478 | 2012-10-17 |
| 1235300823 | Bartels & Associates, Inc | Audiologist | 16038 Doctors Blvd, Hammond, LA 70403-1478 | 2008-03-21 |
| 1891711479 | Bartels & Associates, Inc. | Audiologist | 16038 Doctors Blvd, Hammond, LA 70403-1478 | 2006-07-15 |
Please comment or provide details below to improve the information on LOUISIANA TECH SPEECH AND HEARING CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.