Provider Demographics
NPI:1255973004
Name:HAMIRANI, LAURA M (MM, MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:M
Last Name:HAMIRANI
Suffix:
Gender:F
Credentials:MM, MS, CCC-SLP
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:BLAIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:403 W MAYFIELD DR
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81507-1521
Mailing Address - Country:US
Mailing Address - Phone:515-368-2423
Mailing Address - Fax:
Practice Address - Street 1:2373 G RD STE 270
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81505-1006
Practice Address - Country:US
Practice Address - Phone:970-644-3800
Practice Address - Fax:970-644-3946
Is Sole Proprietor?:No
Enumeration Date:2019-10-14
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.015031235Z00000X
235Z00000X
COSLP.0004101235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist