Provider Demographics
NPI:1619253143
Name:LUDEAU, ERIN RENEE (MA, L/SLP, CCC/SLP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:RENEE
Last Name:LUDEAU
Suffix:
Gender:F
Credentials:MA, L/SLP, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1995 CHICOT PARK RD.
Mailing Address - Street 2:
Mailing Address - City:VILLE PLATTE
Mailing Address - State:LA
Mailing Address - Zip Code:70586-5951
Mailing Address - Country:US
Mailing Address - Phone:225-241-7840
Mailing Address - Fax:
Practice Address - Street 1:1995 CHICOT PARK RD
Practice Address - Street 2:
Practice Address - City:VILLE PLATTE
Practice Address - State:LA
Practice Address - Zip Code:70586
Practice Address - Country:US
Practice Address - Phone:225-241-7840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-28
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6481235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist