Healthcare Provider Details

I. General information

NPI: 1639083157
Provider Name (Legal Business Name): CAROLINE REULET
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

621 BAYOU DULARGE RD
HOUMA LA
70363-7608
US

IV. Provider business mailing address

13371 LA BELLE RUE RD
VACHERIE LA
70090-3066
US

V. Phone/Fax

Practice location:
  • Phone: 985-303-4809
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number10244
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: