Individual
CHARISSA NOEL SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2205 W 29TH AVE, DENVER, CO 80211-3803
(303) 458-1112
Mailing address
5500 DTC PKWY APT 420, GREENWOOD VILLAGE, CO 80111-3165
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000901
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UNKNOWN
UNKNOWN
—
Enumeration date
07/06/2012
Last updated
03/25/2022
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