Healthcare Provider Details

I. General information

NPI: 1154733871
Provider Name (Legal Business Name): DENVER AUDIOLOGY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2014
Last Update Date: 09/12/2024
Certification Date: 09/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 MADISON ST STE 402
DENVER CO
80206-5413
US

IV. Provider business mailing address

90 MADISON ST STE 402
DENVER CO
80206-5413
US

V. Phone/Fax

Practice location:
  • Phone: 303-832-2054
  • Fax: 303-377-1179
Mailing address:
  • Phone: 303-832-2054
  • Fax: 303-377-1179

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: BUNNY L BARBER
Title or Position: OWNER
Credential: M.S. CCC A
Phone: 303-832-2054