Provider Demographics
NPI:1063731784
Name:LAMIROULT, JOANNE M (SLP)
Entity type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:M
Last Name:LAMIROULT
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:JODI
Other - Middle Name:M
Other - Last Name:LAMIROULT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SLP
Mailing Address - Street 1:64 WHITE PEAKS LN
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81601-8630
Mailing Address - Country:US
Mailing Address - Phone:970-948-0064
Mailing Address - Fax:970-948-0064
Practice Address - Street 1:64 WHITE PEAKS LN
Practice Address - Street 2:
Practice Address - City:GLENWOOD SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81601-8630
Practice Address - Country:US
Practice Address - Phone:970-948-0064
Practice Address - Fax:970-948-0064
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-20
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COSLP.0001737235Z00000X
NY007433-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist