Provider Demographics
NPI:1336364694
Name:RAMNARINE, LAURA TOMASITA (SLP)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:TOMASITA
Last Name:RAMNARINE
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:422 S. JACKSON AVE
Mailing Address - Street 2:P.O. BOX 1094
Mailing Address - City:PINEDALE
Mailing Address - State:WY
Mailing Address - Zip Code:82941-1094
Mailing Address - Country:US
Mailing Address - Phone:307-749-3470
Mailing Address - Fax:
Practice Address - Street 1:422 S. JACKSON AVE
Practice Address - Street 2:
Practice Address - City:PINEDALE
Practice Address - State:WY
Practice Address - Zip Code:82941-1094
Practice Address - Country:US
Practice Address - Phone:307-749-3470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2011-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19984235Z00000X
WYSP-596235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX19984OtherTEXAS STATE BOARD OF SLP
WYSP-596OtherWYOMING STATE BOARD OF SLP