Organization
AUTHORIZED HEARING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN J. AUDIFFRED MS, CCC-A (AUDIOLOGIST)
(337) 232-6612
Entity
Organization
Contact information
Practice address
249 N COLLEGE RD, LAFAYETTE, LA 70506-4230
(337) 232-6612
(337) 984-6526
Mailing address
249 N COLLEGE RD, LAFAYETTE, LA 70506-4230
(337) 232-6612
(337) 984-6526
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
845
LA
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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