OrganizationActive
Informed Dysphagia Diagnostics LLC
NPI 1336747237 · Speech-Language Pathologist · Hammond, LA
Provider details
- NPI number
- 1336747237
- Entity type
- Organization
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Organization subpart
- No
- Authorized official
- William Blackburn, Owner(203) 371-7311
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1201 Derek Dr Ste 1
Hammond, LA 70403-5755
Phone: (985) 805-2555
Street-level locationGet directions
Mailing address
64300 Bullock Creek Rd
Kentwood, LA 70444-6284
Registry dates
- Enumerated
- 2020-10-13
- Last updated
- 2020-10-13
- Certified
- 2020-10-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.