Individual
ANGELA GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2850 COLUMBINE RD, DENVER, CO 80221-7600
(303) 433-0282
Mailing address
497 TUCKER DR, MAYSVILLE, KY 41056-9111
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0005499
CO
235Z00000X
Speech-Language Pathologist
142109
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005499
SPEECH LANGUAGE PATHOLOGIST LICENSE
CO
01
—
142109
KY LICENSE
KY
Enumeration date
10/17/2017
Last updated
09/15/2023
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