Individual
AMY S CIVIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.CCC-A,FAAA
Contact information
Practice address
200 UNION BLVD, SUITE 421, LAKEWOOD, CO 80228-1830
(720) 446-2828
(720) 446-0941
Mailing address
200 UNION BLVD, SUITE 421, LAKEWOOD, CO 80228-1830
(720) 446-2828
(720) 446-0941
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
218
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29451281
—
CO
Enumeration date
08/18/2006
Last updated
05/12/2016
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