Healthcare Provider Details

I. General information

NPI: 1841102787
Provider Name (Legal Business Name): XAVIER EMMANUEL GLAUDE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8316 PICARDY AVE
BATON ROUGE LA
70809-3686
US

IV. Provider business mailing address

5225 ST.BERNARD AVE
NEW ORLEANS LA
70122
US

V. Phone/Fax

Practice location:
  • Phone: 225-767-5032
  • Fax:
Mailing address:
  • Phone: 504-214-2188
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number10299
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: