Provider Demographics
NPI:1902001050
Name:CAVALIER, DAVE JOSEPH III (MS, CCC-A)
Entity Type:Individual
Prefix:MR
First Name:DAVE
Middle Name:JOSEPH
Last Name:CAVALIER
Suffix:III
Gender:M
Credentials:MS, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 E SAINT PETER ST
Mailing Address - Street 2:
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70560-3752
Mailing Address - Country:US
Mailing Address - Phone:337-364-9156
Mailing Address - Fax:337-560-1627
Practice Address - Street 1:425 E SAINT PETER ST
Practice Address - Street 2:
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70560-3752
Practice Address - Country:US
Practice Address - Phone:337-364-9156
Practice Address - Fax:337-560-1627
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3596231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1667340Medicaid
LA5T841Medicare PIN