Provider Demographics
NPI:1285936583
Name:CARMOUCHE, AYANNA COLOMB (MS -L -SLP)
Entity type:Individual
Prefix:MRS
First Name:AYANNA
Middle Name:COLOMB
Last Name:CARMOUCHE
Suffix:
Gender:F
Credentials:MS -L -SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37426 CYPRESS PLACE AVE
Mailing Address - Street 2:
Mailing Address - City:GEISMAR
Mailing Address - State:LA
Mailing Address - Zip Code:70734-3290
Mailing Address - Country:US
Mailing Address - Phone:337-280-1666
Mailing Address - Fax:
Practice Address - Street 1:37426 CYPRESS PLACE AVE
Practice Address - Street 2:
Practice Address - City:GEISMAR
Practice Address - State:LA
Practice Address - Zip Code:70734-3290
Practice Address - Country:US
Practice Address - Phone:337-280-1666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-19
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4740235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist