Healthcare Provider Details

I. General information

NPI: 1316823271
Provider Name (Legal Business Name): ANNA CAUGHMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2025
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 SIBLEY ST
BENTON LA
71006-8301
US

IV. Provider business mailing address

601 PENNSYLVANIA AVE
MINDEN LA
71055-3430
US

V. Phone/Fax

Practice location:
  • Phone: 318-549-5801
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number9644
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: