Healthcare Provider Details

I. General information

NPI: 1366608234
Provider Name (Legal Business Name): STEFANY SAVOIE WAITS AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2008
Last Update Date: 05/29/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1151 BARATARIA BLVD STE 3100
MARRERO LA
70072-3083
US

IV. Provider business mailing address

1151 BARATARIA BLVD STE 3100
MARRERO LA
70072-3083
US

V. Phone/Fax

Practice location:
  • Phone: 504-934-8461
  • Fax: 504-371-3811
Mailing address:
  • Phone: 504-934-8462
  • Fax: 504-371-3811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number4568
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: