Healthcare Provider Details

I. General information

NPI: 1326975129
Provider Name (Legal Business Name): ELIZA HINELINE
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3375 DENARGO ST UNIT 525
DENVER CO
80216-5371
US

IV. Provider business mailing address

3375 DENARGO ST UNIT 525
DENVER CO
80216-5371
US

V. Phone/Fax

Practice location:
  • Phone: 804-497-0257
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number0006782
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: