Provider Demographics
NPI:1124443247
Name:SCHOENFELD, KRISTIN (AUD)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:
Last Name:SCHOENFELD
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 TERRACE OAK LN
Mailing Address - Street 2:
Mailing Address - City:BROUSSARD
Mailing Address - State:LA
Mailing Address - Zip Code:70518-7644
Mailing Address - Country:US
Mailing Address - Phone:337-304-5086
Mailing Address - Fax:337-232-0772
Practice Address - Street 1:315 S COLLEGE RD
Practice Address - Street 2:STE 100
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-3212
Practice Address - Country:US
Practice Address - Phone:337-235-6601
Practice Address - Fax:337-232-0772
Is Sole Proprietor?:No
Enumeration Date:2014-02-26
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6118237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter