Jill Aucoin, MCD,CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Metairie, LA
NPI 1295958262 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295958262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 4404 (LA)
- Practice address
- 311 Labarre Dr
Metairie, LA 70001-5436 - Phone
- (504) 957-6932
- NPI assigned
- Apr 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4404 | LA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4404 | LA | Yes |
Addresses
Primary practice location
311 Labarre Dr
Metairie, LA 70001-5436
Mailing address
311 Labarre Dr
Metairie, LA 70001-5436
Phone (504) 957-6932
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1307017 | Medicaid | LA |
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All providers in Metairie, LA · Speech-Language Pathologist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.