Provider Demographics
NPI:1871912899
Name:HERRIOTT, ELENA (AUD, CCC-A, FAAA)
Entity type:Individual
Prefix:
First Name:ELENA
Middle Name:
Last Name:HERRIOTT
Suffix:
Gender:F
Credentials:AUD, CCC-A, FAAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2009 W RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70448-1042
Mailing Address - Country:US
Mailing Address - Phone:301-707-5978
Mailing Address - Fax:
Practice Address - Street 1:455 31ST ST
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-4101
Practice Address - Country:US
Practice Address - Phone:504-667-4180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-08
Last Update Date:2014-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6561231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist