Healthcare Provider Details

I. General information

NPI: 1235629593
Provider Name (Legal Business Name): MISS NATASHA CUMMINGS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2018
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1804 HIGHLAND DR
NEW IBERIA LA
70560-0940
US

IV. Provider business mailing address

1804 HIGHLAND DR
NEW IBERIA LA
70560-0940
US

V. Phone/Fax

Practice location:
  • Phone: 832-422-0913
  • Fax:
Mailing address:
  • Phone: 337-578-8832
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number117164
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: