Organization
SELECTIVE HEARING OF ACADIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHLEY B THOM AU.D. (DOCTOR OF AUDIOLOGY/PRESIDENT)
(337) 291-9939
Entity
Organization
Contact information
Practice address
110 EXCHANGE PL, SUITE 100, LAFAYETTE, LA 70503-2580
(337) 291-9939
(337) 291-9023
Mailing address
110 EXCHANGE PL, SUITE 100, LAFAYETTE, LA 70503-2580
(337) 291-9939
(337) 291-9023
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
6508
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255619748
NPI
—
01
—
1760529739
NPI
—
05
—
1983756
—
LA
05
—
2306944
—
LA
Enumeration date
04/17/2017
Last updated
04/17/2017
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