Provider Demographics
NPI:1730333451
Name:GUILLORY, JOANN (MS CFY SLP)
Entity type:Individual
Prefix:MS
First Name:JOANN
Middle Name:
Last Name:GUILLORY
Suffix:
Gender:F
Credentials:MS CFY SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 GUILBEAU RD
Mailing Address - Street 2:SUITE 4B
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-6952
Mailing Address - Country:US
Mailing Address - Phone:337-981-9940
Mailing Address - Fax:337-981-2531
Practice Address - Street 1:312 GUILBEAU RD
Practice Address - Street 2:SUITE 4B
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-6952
Practice Address - Country:US
Practice Address - Phone:337-981-9940
Practice Address - Fax:337-981-2531
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-07
Last Update Date:2008-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3559235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist