Organization
UNIVERSITY OF NORTHERN COLORADO
Active
Other names
Speech & Audiology Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD NICKESON (ASSOCIATE VP ADMINISTRATION)
(970) 351-3966
Entity
Organization
Contact information
Practice address
501 20TH ST, 55, GREELEY, CO 80639-0001
(970) 351-2012
(970) 351-1601
Mailing address
501 20TH ST, 55, GREELEY, CO 80639-0001
(970) 351-2012
(970) 351-1601
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
—
—
235Z00000X
Speech-Language Pathologist
—
—
237600000X
Audiologist-Hearing Aid Fitter
—
—
237700000X
Hearing Instrument Specialist
—
—
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04439097
—
CO
Enumeration date
10/10/2005
Last updated
11/15/2022
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