1871631143 NPI number — MS. CAROL CASEY CANCIENNE MSP, CCC-SLP, MED

Table of content: MS. CAROL CASEY CANCIENNE MSP, CCC-SLP, MED (NPI 1871631143)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871631143 NPI number — MS. CAROL CASEY CANCIENNE MSP, CCC-SLP, MED

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CANCIENNE
Provider First Name:
CAROL
Provider Middle Name:
CASEY
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MSP, CCC-SLP, MED
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1871631143
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/22/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9029 JEFFERSON HWY
Provider Second Line Business Mailing Address:
STE D #231
Provider Business Mailing Address City Name:
RIVER RIDGE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70123
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
504-256-3322
Provider Business Mailing Address Fax Number:
504-737-3659

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9029 JEFFERSON HWY
Provider Second Line Business Practice Location Address:
STE D #231
Provider Business Practice Location Address City Name:
RIVER RIDGE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70123
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-256-3322
Provider Business Practice Location Address Fax Number:
504-737-3659
Provider Enumeration Date:
02/01/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  4972 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2026 www.npivalidator.com