Provider Demographics
NPI:1184841868
Name:DAIGLE, CYNTHIA COFFEY (CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:COFFEY
Last Name:DAIGLE
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1609 OREGON ST # B
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70607-1925
Mailing Address - Country:US
Mailing Address - Phone:337-853-6708
Mailing Address - Fax:337-477-5056
Practice Address - Street 1:1609 OREGON ST # B
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70607-1925
Practice Address - Country:US
Practice Address - Phone:337-853-6708
Practice Address - Fax:337-477-5056
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1299235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist