Provider Demographics
NPI:1033129192
Name:LAPORTA, JOANNE M (MA, CCC-A)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:M
Last Name:LAPORTA
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1189 S. PERRY ST.
Mailing Address - Street 2:SUITE 120
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104
Mailing Address - Country:US
Mailing Address - Phone:303-663-2235
Mailing Address - Fax:303-688-8968
Practice Address - Street 1:1189 S. PERRY ST.
Practice Address - Street 2:SUITE 120
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104
Practice Address - Country:US
Practice Address - Phone:303-663-2235
Practice Address - Fax:303-688-8968
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0192231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO06637523Medicaid
CO801150Medicare ID - Type UnspecifiedPRACTIONER
CO202074893Medicare UPIN
CO801103Medicare NSC