Provider Demographics
NPI:1073214102
Name:REGOUFFRE, RHONDA M (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:M
Last Name:REGOUFFRE
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:RHONDA
Other - Middle Name:R
Other - Last Name:HODO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:2405 MARYLAND AVE
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70003-5411
Mailing Address - Country:US
Mailing Address - Phone:504-432-9813
Mailing Address - Fax:
Practice Address - Street 1:2405 MARYLAND AVE
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70003-5411
Practice Address - Country:US
Practice Address - Phone:504-432-9813
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-15
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4475235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty