Provider Demographics
NPI:1083388268
Name:MARCOUX, CELESTE LYNN (MS, SLP-CF)
Entity type:Individual
Prefix:
First Name:CELESTE
Middle Name:LYNN
Last Name:MARCOUX
Suffix:
Gender:F
Credentials:MS, SLP-CF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 S PERRY ST STE 200
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-3376
Mailing Address - Country:US
Mailing Address - Phone:720-398-8806
Mailing Address - Fax:720-533-6137
Practice Address - Street 1:815 S PERRY ST STE 200
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-3376
Practice Address - Country:US
Practice Address - Phone:720-398-8806
Practice Address - Fax:720-533-6137
Is Sole Proprietor?:No
Enumeration Date:2021-08-02
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COSLP.0005213235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COSLP0005213OtherDORA
CO1083388268Medicaid