Provider Demographics
NPI:1144877937
Name:LOUX, JEFFREY ALAN (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:ALAN
Last Name:LOUX
Suffix:
Gender:M
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:795 COX NECK RD
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-5704
Mailing Address - Country:US
Mailing Address - Phone:302-832-6300
Mailing Address - Fax:
Practice Address - Street 1:795 COX NECK RD
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-5704
Practice Address - Country:US
Practice Address - Phone:302-832-6300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-26
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEO1-0001765235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist