Provider Demographics
NPI:1942431895
Name:GILES, AMANDA (MCD, CCC-A)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:
Last Name:GILES
Suffix:
Gender:F
Credentials:MCD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 HENRY CLAY AVE
Mailing Address - Street 2:SPEECH AND HEARING DEPARTMENT
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-5720
Mailing Address - Country:US
Mailing Address - Phone:504-896-9554
Mailing Address - Fax:504-894-5547
Practice Address - Street 1:200 HENRY CLAY AVE
Practice Address - Street 2:SPEECH AND HEARING DEPARTMENT
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-5720
Practice Address - Country:US
Practice Address - Phone:504-896-9554
Practice Address - Fax:504-894-5547
Is Sole Proprietor?:No
Enumeration Date:2009-07-27
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4887237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1472204Medicaid