Organization
KELLY SPEARS, INC.
Active
Other names
Spears Learning Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTEN KELLY SPEARS MS, CCC-SLP/BCBA (PRESIDENT/SLP)
(504) 388-6848
Entity
Organization
Contact information
Practice address
2612 METAIRIE RD, METAIRIE, LA 70001-5426
(504) 309-5679
(504) 309-5694
Mailing address
2612 METAIRIE RD, METAIRIE, LA 70001-5426
(504) 309-5679
(504) 309-5694
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
1-10-7637
LA
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1814105
—
LA
05
—
2350005
—
LA
Enumeration date
08/02/2010
Last updated
03/12/2014
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