Provider Demographics
NPI:1841336369
Name:GIROUARD, LORI KIELTY (AUD CCC-A)
Entity type:Individual
Prefix:DR
First Name:LORI
Middle Name:KIELTY
Last Name:GIROUARD
Suffix:
Gender:F
Credentials:AUD CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3455 SW CANOE PL
Mailing Address - Street 2:
Mailing Address - City:PALM CITY
Mailing Address - State:FL
Mailing Address - Zip Code:34990-1830
Mailing Address - Country:US
Mailing Address - Phone:772-464-9595
Mailing Address - Fax:772-464-9582
Practice Address - Street 1:3601 SE OCEAN BLVD STE 205
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34996-6753
Practice Address - Country:US
Practice Address - Phone:772-678-6925
Practice Address - Fax:772-678-6954
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1114231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist