1477724185 NPI number — SPEECH, LANGUAGE & HEARING CLINIC

Table of content: (NPI 1477724185)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477724185 NPI number — SPEECH, LANGUAGE & HEARING CLINIC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SPEECH, LANGUAGE & HEARING CLINIC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
UNIVERSITY OF COLORADO AT BOULDER
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1477724185
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/20/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2501 KITTREDGE LOOP ROAD
Provider Second Line Business Mailing Address:
SPEECH, LANGUAGE & HEARING CENTER 409 UCB
Provider Business Mailing Address City Name:
BOULDER
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80309-0409
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-492-5375
Provider Business Mailing Address Fax Number:
303-492-3274

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2501 KITTREDGE LOOP ROAD
Provider Second Line Business Practice Location Address:
SPEECH, LANGUAGE & HEARING CENTER 409 UCB
Provider Business Practice Location Address City Name:
BOULDER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80309-0409
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-492-5375
Provider Business Practice Location Address Fax Number:
303-492-3274
Provider Enumeration Date:
03/20/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MOORE
Authorized Official First Name:
SUSAN
Authorized Official Middle Name:
M.
Authorized Official Title or Position:
CLINICAL DIRECTOR
Authorized Official Telephone Number:
303-492-5284

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 231HA2400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 231HA2500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2355S0801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 235Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 237600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)