Individual
BRANDI LEIGH GREENHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1625 MEDICAL CENTER PT, COLORADO SPRINGS, CO 80907
(179) 635-5148
(719) 448-0717
Mailing address
2 S CASCADE AVE STE 140, COLORADO SPRINGS, CO 80903-1604
(719) 866-6568
(719) 538-2999
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD.0000791
CO
231HA2400X
Assistive Technology Practitioner Audiologist
AUD.0000791
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59770104
—
CO
Enumeration date
06/16/2015
Last updated
08/24/2018
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