Provider Demographics
NPI:1447460928
Name:HOUSTON, KATRINA LANDRY (MED CCCSLP)
Entity type:Individual
Prefix:MRS
First Name:KATRINA
Middle Name:LANDRY
Last Name:HOUSTON
Suffix:
Gender:F
Credentials:MED CCCSLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1438 DE BATTISTA PL
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70131-7901
Mailing Address - Country:US
Mailing Address - Phone:504-336-4954
Mailing Address - Fax:
Practice Address - Street 1:1438 DE BATTISTA PL
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70131-7901
Practice Address - Country:US
Practice Address - Phone:504-336-4954
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2324235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist