Healthcare Provider Details

I. General information

NPI: 1790694412
Provider Name (Legal Business Name): CAMILLE DIPAOLA
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

430 N HIGH ST
DENVER CO
80218-4024
US

IV. Provider business mailing address

430 N HIGH ST
DENVER CO
80218-4024
US

V. Phone/Fax

Practice location:
  • Phone: 720-860-2331
  • Fax:
Mailing address:
  • Phone: 720-860-2331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP.0006472
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: