Dwayne Edward Redman in Shreveport - Audiologist
Dwayne Edward Redman - NPI 1194829713
Dwayne Edward Redman is a Audiologist in Shreveport, Louisiana. Dwayne Edward Redman practices all healthcare services and medical treatments related to Audiologist. The NPI Number for Dwayne Edward Redman is 1194829713. The last update date is 2007-07-08.
Dwayne Edward Redman's current location address is 510 E Stoner Ave, Shreveport, Louisiana. You can contact this provider via phone number 3184246090 and fax number 3184295749. The mailing address for Dwayne Edward Redman is 510 E Stoner Ave, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dwayne Edward Redman |
|---|---|
| Address | 510 E Stoner Ave, Shreveport, Louisiana |
| Phone Number | 3184246090 |
| Fax Number | 3184295749 |
| Sole Proprietor | N |
| Credentials | M.S., CCC- |
NPI Number Detail
| NPI Number | 1194829713 |
|---|---|
| Provider Enumeration Date | 2006-09-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 510 E Stoner Ave |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711014243 |
| Phone Number | 3184246090 |
| Fax Number | 3184295749 |
Provider's Primary Taxonomy Detail
| Speciality | Audiologist |
|---|---|
| Taxonomy | 231H00000X |
| Licence No | 5678 |
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Definition: (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditor |
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What is the unique identification code assigned to Dwayne Edward Redman by the Centers for Medicare & Medicaid Services?
The Dwayne Edward Redman has been issued the NPI (National Provider Identifier) 1194829713. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Dwayne Edward Redman is physically located?
The Dwayne Edward Redman is situated at the following address: 510 E Stoner Ave, Shreveport, LA 711014243.
What is Dwayne Edward Redman's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dwayne Edward Redman's area of specialization is Audiologist, and the corresponding taxonomy code that categorizes this field of practice is 231H00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1194829713 to Dwayne Edward Redman?
The Centers for Medicare & Medicaid Services originally issued the 1194829713 to Dwayne Edward Redman on 2006-09-12.
When was the information regarding Dwayne Edward Redman most recently updated?
The details pertaining to the Dwayne Edward Redman, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1376546309
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