Provider Demographics
NPI:1811024060
Name:GOUBEAUX, JOCELYN HEDGES (MA)
Entity Type:Individual
Prefix:MS
First Name:JOCELYN
Middle Name:HEDGES
Last Name:GOUBEAUX
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:914 N KINGS RD
Mailing Address - Street 2:#2
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90069-4380
Mailing Address - Country:US
Mailing Address - Phone:323-656-6440
Mailing Address - Fax:
Practice Address - Street 1:13 S TEJON ST
Practice Address - Street 2:SUITE 501
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-1513
Practice Address - Country:US
Practice Address - Phone:866-226-8576
Practice Address - Fax:213-483-3716
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU786231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist