Individual
MRS. AMY BREAUX COURREGE'
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-A
Contact information
Practice address
1219 CAPTAIN CADE RD, NEW IBERIA, LA 70560-0551
(337) 367-3055
Mailing address
1219 CAPTAIN CADE RD, NEW IBERIA, LA 70560-0551
(337) 367-3055
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
4548
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1197874
—
LA
Enumeration date
05/07/2007
Last updated
07/08/2007
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