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NPI Code Detail

MEDICARE: CHARISSA NOEL SKINNER M.S., CCC-SLP

MEDICARE: CHARISSA NOEL SKINNER M.S., CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist0000901CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1UNKNOWNOTHERUNKNOWN

General Provider Information

NPI Number : 1538424460
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARISSA NOEL SKINNER M.S., CCC-SLP
Provider Business Mailing Address
First Line : 5500 DTC PKWY APT 420
Second Line :
City : GREENWOOD VILLAGE
State : CO
Zip : 80111-3165
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2205 W 29TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80211-3803
Country : US
Telephone Number : 303-458-1112
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2012
Last Update Date : 03/25/2022

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Directions to “ CHARISSA NOEL SKINNER M.S., CCC-SLP” Practice Location

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