Provider Demographics
NPI:1912455015
Name:CHAUVIN, CATHY (SPEECH LANGUAGE PATH)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:
Last Name:CHAUVIN
Suffix:
Gender:F
Credentials:SPEECH LANGUAGE PATH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1160 HOSPITAL RD
Mailing Address - Street 2:STE 100
Mailing Address - City:NEW ROADS
Mailing Address - State:LA
Mailing Address - Zip Code:70760-2637
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1160 HOSPITAL RD
Practice Address - Street 2:STE 100
Practice Address - City:NEW ROADS
Practice Address - State:LA
Practice Address - Zip Code:70760-2637
Practice Address - Country:US
Practice Address - Phone:225-638-4455
Practice Address - Fax:225-208-6173
Is Sole Proprietor?:No
Enumeration Date:2016-09-17
Last Update Date:2016-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1429OtherSTATE LICENSE NUMBER