Provider Demographics
NPI:1154204931
Name:OTKINS, CAGNEY DOMINIQUE (MS, CF-SLP)
Entity type:Individual
Prefix:
First Name:CAGNEY
Middle Name:DOMINIQUE
Last Name:OTKINS
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 PANTHER RUN
Mailing Address - Street 2:
Mailing Address - City:DESTREHAN
Mailing Address - State:LA
Mailing Address - Zip Code:70047-3137
Mailing Address - Country:US
Mailing Address - Phone:504-439-1711
Mailing Address - Fax:
Practice Address - Street 1:4000 CADILLAC ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70122-1117
Practice Address - Country:US
Practice Address - Phone:504-324-7600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA9976235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist