Healthcare Provider Details

I. General information

NPI: 1104265636
Provider Name (Legal Business Name): SANDRA CONNORS M.A. SLP-CF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2013
Last Update Date: 06/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

495 UINTA WAY 120
DENVER CO
80230-7110
US

IV. Provider business mailing address

495 UINTA WAY 120
DENVER CO
80230-7110
US

V. Phone/Fax

Practice location:
  • Phone: 303-344-4100
  • Fax: 303-362-8986
Mailing address:
  • Phone: 303-344-4100
  • Fax: 303-362-8986

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: