Provider Demographics
NPI:1427599232
Name:DAIGLE, CATHLEEN
Entity Type:Individual
Prefix:
First Name:CATHLEEN
Middle Name:
Last Name:DAIGLE
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 1:322 HEYMANN BLVD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-2465
Mailing Address - Country:US
Mailing Address - Phone:337-446-4707
Mailing Address - Fax:
Practice Address - Street 1:322 HEYMANN BLVD
Practice Address - Street 2:SUITE 5
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2465
Practice Address - Country:US
Practice Address - Phone:337-446-4707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-13
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor