Provider Demographics
NPI:1669703948
Name:KAUFMAN, ELISE S (MS)
Entity type:Individual
Prefix:MRS
First Name:ELISE
Middle Name:S
Last Name:KAUFMAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8338 SUMMA AVE
Mailing Address - Street 2:SUITE 500
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-3669
Mailing Address - Country:US
Mailing Address - Phone:225-268-5806
Mailing Address - Fax:225-767-2437
Practice Address - Street 1:8338 SUMMA AVE
Practice Address - Street 2:SUITE 500
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-3669
Practice Address - Country:US
Practice Address - Phone:225-268-5806
Practice Address - Fax:225-767-2437
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-26
Last Update Date:2013-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA493235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist