Provider Demographics
NPI:1306514195
Name:GAUDIN, KARI MARIE (CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:KARI
Middle Name:MARIE
Last Name:GAUDIN
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:613 E CHUCK ST
Mailing Address - Street 2:
Mailing Address - City:GONZALES
Mailing Address - State:LA
Mailing Address - Zip Code:70737-4435
Mailing Address - Country:US
Mailing Address - Phone:225-975-1888
Mailing Address - Fax:
Practice Address - Street 1:613 E CHUCK ST
Practice Address - Street 2:
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737-4435
Practice Address - Country:US
Practice Address - Phone:225-975-1888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-06
Last Update Date:2021-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY6750235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist