Provider Demographics
NPI:1962474999
Name:SIMONEAUX, SABRINA TEMPLET (AUD)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:TEMPLET
Last Name:SIMONEAUX
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4451 BLUEBONNET BLVD
Mailing Address - Street 2:SUITE G
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-9646
Mailing Address - Country:US
Mailing Address - Phone:225-663-6130
Mailing Address - Fax:225-757-6559
Practice Address - Street 1:4451 BLUEBONNET BLVD
Practice Address - Street 2:SUITE G
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-9646
Practice Address - Country:US
Practice Address - Phone:225-663-6130
Practice Address - Fax:225-757-6559
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1356231H00000X
LA6014237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist