Healthcare Provider Details

I. General information

NPI: 1710231196
Provider Name (Legal Business Name): KATHERINE CORMIER DUHON AU.D., CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHERINE ELISE CORMIER AUD

II. Dates (important events)

Enumeration Date: 11/06/2012
Last Update Date: 06/02/2020
Certification Date: 06/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 W PINHOOK RD STE 201
LAFAYETTE LA
70503-2464
US

IV. Provider business mailing address

1000 W PINHOOK RD STE 201
LAFAYETTE LA
70503-2464
US

V. Phone/Fax

Practice location:
  • Phone: 337-237-0650
  • Fax: 888-990-2781
Mailing address:
  • Phone: 337-237-0650
  • Fax: 888-990-2781

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number6688
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: