Individual
JENSEN HANYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1665 COAL CREEK DR, LAFAYETTE, CO 80026-2784
(775) 230-1375
Mailing address
1665 COAL CREEK DR, LAFAYETTE, CO 80026-2784
(775) 230-1375
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000341
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
840526621
PRIVATE INSURANCE
CO
05
—
840526621
—
CO
Enumeration date
01/29/2018
Last updated
01/29/2018
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