Organization
SPEECH, LANGUAGE & HEARING CLINIC
Active
Parent organization
UNIVERSITY OF COLORADO AT BOULDER
Other names
University of Colorado at Boulder
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF COLORADO AT BOULDER
Authorized official
DR. SUSAN M. MOORE (CLINICAL DIRECTOR)
(303) 492-5284
Entity
Organization
Contact information
Practice address
2501 KITTREDGE LOOP ROAD, SPEECH, LANGUAGE & HEARING CENTER 409 UCB, BOULDER, CO 80309-0409
(303) 492-5375
(303) 492-3274
Mailing address
2501 KITTREDGE LOOP ROAD, SPEECH, LANGUAGE & HEARING CENTER 409 UCB, BOULDER, CO 80309-0409
(303) 492-5375
(303) 492-3274
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
—
—
231HA2400X
Assistive Technology Practitioner Audiologist
—
—
231HA2500X
Assistive Technology Supplier Audiologist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
237600000X
Audiologist-Hearing Aid Fitter
—
—
Other
Enumeration date
03/20/2008
Last updated
03/20/2008
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