Provider Demographics
NPI:1548949829
Name:INTEGRITY SPEECH PATHOLOGY LLC
Entity type:Organization
Organization Name:INTEGRITY SPEECH PATHOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DE'SHAUNTE
Authorized Official - Middle Name:BRIANA
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC-SLP
Authorized Official - Phone:225-603-4639
Mailing Address - Street 1:4500 SHERWOOD COMMON BLVD APT 1416
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-4276
Mailing Address - Country:US
Mailing Address - Phone:225-603-4639
Mailing Address - Fax:
Practice Address - Street 1:4500 SHERWOOD COMMON BLVD APT 1416
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-4276
Practice Address - Country:US
Practice Address - Phone:225-603-4639
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-14
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech