Basic Information
| Provider Information | |||||||||
| NPI: | 1811206501 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AULD | ||||||||
| FirstName: | CAROLYN | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 221 RUE DE JEAN | ||||||||
| Address2: | SUITE 126 | ||||||||
| City: | LAFAYETTE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 705088501 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3372330322 | ||||||||
| FaxNumber: | 3372330225 | ||||||||
| Practice Location | |||||||||
| Address1: | 221 RUE DE JEAN | ||||||||
| Address2: | SUITE 126 | ||||||||
| City: | LAFAYETTE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 705088501 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3372330322 | ||||||||
| FaxNumber: | 3372330225 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/29/2010 | ||||||||
| LastUpdateDate: | 09/29/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 6274 | LA | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.