Provider Demographics
NPI:1376847855
Name:MEAUX, AIMEE KATHRYN (MS, CCC/SLP)
Entity Type:Individual
Prefix:MISS
First Name:AIMEE
Middle Name:KATHRYN
Last Name:MEAUX
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 S LEMANS ST
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-4130
Mailing Address - Country:US
Mailing Address - Phone:337-981-8376
Mailing Address - Fax:
Practice Address - Street 1:1720 KALISTE SALOOM RD
Practice Address - Street 2:SUITE A-3
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-6137
Practice Address - Country:US
Practice Address - Phone:337-988-6500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-27
Last Update Date:2010-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6091235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist