Provider Demographics
NPI:1083489744
Name:ADU, AWOVI
Entity Type:Individual
Prefix:
First Name:AWOVI
Middle Name:
Last Name:ADU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47147 VINEYARD TRCE
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70401-4086
Mailing Address - Country:US
Mailing Address - Phone:985-215-9689
Mailing Address - Fax:
Practice Address - Street 1:47147 VINEYARD TRCE
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70401-4086
Practice Address - Country:US
Practice Address - Phone:985-215-9689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-21
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA8273235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist