Individual
DR. CORY STEPHEN TICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
445 UNION BLVD STE 124, LAKEWOOD, CO 80228-1239
(303) 233-3142
(303) 233-3719
Mailing address
445 UNION BLVD STE 124, LAKEWOOD, CO 80228-1239
(303) 233-3142
(303) 233-3719
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
633
CO
Other
Enumeration date
05/16/2011
Last updated
09/24/2020
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