Healthcare Provider Details

I. General information

NPI: 1841641065
Provider Name (Legal Business Name): AUDIBEL HEARING HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2016
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4640 S CARROLLTON AVE
NEW ORLEANS LA
70119-6051
US

IV. Provider business mailing address

4640 SOUTH CARROLLTON AVE
NEW ORLEANS LA
70119
US

V. Phone/Fax

Practice location:
  • Phone: 504-488-8852
  • Fax:
Mailing address:
  • Phone: 504-488-8852
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MONIQUE GALLANT
Title or Position: AUDIOLOGIST
Credential: AU.D.
Phone: 504-488-8852