MEDICARE: MS. HEATHER MARIE GILBERT AU.D., CCC-A

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
1	231H00000X	Audiologist	9632	MN
2	231H00000X	Audiologist	961	CO
3	231H00000X	Audiologist	0000961	CO

General Provider Information

NPI Number	:	1871948349
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. HEATHER MARIE GILBERT AU.D., CCC-A

Provider Business Mailing Address
First Line	:	2375 TELSTAR DR STE 160
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-1043
Country	:	US
Telephone Number	:	719-305-9444
Fax Number	:

Provider Business Practice Location Address
First Line	:	2375 TELSTAR DR STE 160
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-1043
Country	:	US
Telephone Number	:	719-305-9444
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2016
Last Update Date	:	04/02/2024

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