Provider Demographics
NPI:1184036634
Name:LAMOUREAUX, ANNE SOLEDAD (SLPA)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:SOLEDAD
Last Name:LAMOUREAUX
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2091 N ST BONITA LN
Mailing Address - Street 2:
Mailing Address - City:CASA GRANDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85122-6541
Mailing Address - Country:US
Mailing Address - Phone:760-784-1563
Mailing Address - Fax:
Practice Address - Street 1:2091 N ST BONITA LN
Practice Address - Street 2:
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122-6541
Practice Address - Country:US
Practice Address - Phone:760-784-1563
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-02
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ#SLPA88642355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant