Provider Demographics
NPI:1154447555
Name:COURNOYER, LINDA JEANNE (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:JEANNE
Last Name:COURNOYER
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:53 CASTLE HEIGHTS CT
Mailing Address - Street 2:
Mailing Address - City:WOONSOCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02895-1005
Mailing Address - Country:US
Mailing Address - Phone:401-762-9026
Mailing Address - Fax:401-762-1312
Practice Address - Street 1:245 MAIN STREET
Practice Address - Street 2:FAMILY RESOURCES COMMUNITY ACTION
Practice Address - City:WOONSOCKET
Practice Address - State:RI
Practice Address - Zip Code:02895-3123
Practice Address - Country:US
Practice Address - Phone:401-766-0900
Practice Address - Fax:401-766-8737
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RISP00837235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist