# UNIVERSITY OF NORTHERN COLORADO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Speech & Audiology Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578551024
- **Authorized official:** RICHARD NICKESON (ASSOCIATE VP ADMINISTRATION)
- **Authorized official phone:** (970) 351-3966

## Contact information

- **Practice address:** 501 20TH ST, 55, GREELEY, CO 80639-0001
- **Practice address phone:** (970) 351-2012
- **Practice address fax:** (970) 351-1601
- **Mailing address:** 501 20TH ST, 55, GREELEY, CO 80639-0001
- **Mailing address phone:** (970) 351-2012
- **Mailing address fax:** (970) 351-1601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | — | NULL | — |
| 231H00000X | Audiologist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 237600000X | Audiologist-Hearing Aid Fitter | — | NULL | — |
| 237600000X | Audiologist-Hearing Aid Fitter | — | — | — |
| 237700000X | Hearing Instrument Specialist | — | NULL | — |
| 237700000X | Hearing Instrument Specialist | — | — | — |
| 261QH0700X | Hearing and Speech Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/10/2005
- **Last updated:** 11/15/2022