Provider Demographics
NPI:1952804049
Name:POTIER, NIA (AUD)
Entity Type:Individual
Prefix:DR
First Name:NIA
Middle Name:
Last Name:POTIER
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 1:4219 MAGNOLIA ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-6207
Mailing Address - Country:US
Mailing Address - Phone:504-345-2984
Mailing Address - Fax:
Practice Address - Street 1:4219 MAGNOLIA ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-6207
Practice Address - Country:US
Practice Address - Phone:504-345-2984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-14
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7829231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist