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Organization

ABLE KIDS FOUNDATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOAN M. BURLEIGH PH.D., CCC/A (CEO)
(970) 226-2253
Entity
Organization

Contact information

Practice address
315 W OAK ST STE 101, FORT COLLINS, CO 80521-2723
(970) 226-2253
Mailing address
315 W OAK ST STE 101, FORT COLLINS, CO 80521-2723
(970) 226-2253

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
106
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
106
COLORADO AUDIOLOGY REGISTRATION NUMBER
CO
01
550
COLORADO AUDIOLOGY REGISTRATION NUMBER
CO
Enumeration date
12/09/2008
Last updated
12/09/2008
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