Organization
AUDIOLOGY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE STOCKSTILL M.S., CCC-A (PRESIDENT)
(225) 288-0079
Entity
Organization
Contact information
Practice address
36298 E PINE GROVE CT, PRAIRIEVILLE, LA 70769-3466
(225) 288-0079
Mailing address
36298 E PINE GROVE CT, PRAIRIEVILLE, LA 70769-3466
(225) 288-0079
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
4389
LA
Other
Enumeration date
08/31/2009
Last updated
05/20/2013
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