Provider Demographics
NPI:1720388572
Name:LAMOUREUX, ANNIE-KARINE (MSCCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ANNIE-KARINE
Middle Name:
Last Name:LAMOUREUX
Suffix:
Gender:F
Credentials:MSCCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 WALTON DR
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06107-1631
Mailing Address - Country:US
Mailing Address - Phone:860-463-7710
Mailing Address - Fax:
Practice Address - Street 1:26 SHERWOOD LN
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:CT
Practice Address - Zip Code:06447-1456
Practice Address - Country:US
Practice Address - Phone:860-463-7710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-27
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003803235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist