Provider Demographics
NPI:1740398908
Name:VAUTIER, PAMELA DYAS (MSC)
Entity type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:DYAS
Last Name:VAUTIER
Suffix:
Gender:F
Credentials:MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6701 AIRPORT BLVD
Mailing Address - Street 2:SUITE B-123
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-6705
Mailing Address - Country:US
Mailing Address - Phone:251-689-3241
Mailing Address - Fax:251-633-2463
Practice Address - Street 1:6701 AIRPORT BLVD
Practice Address - Street 2:SUITE B-123
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-6705
Practice Address - Country:US
Practice Address - Phone:251-689-3241
Practice Address - Fax:251-633-2463
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-28
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL546A231H00000X, 237600000X
231HA2400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter