Healthcare Provider Details

I. General information

NPI: 1366867186
Provider Name (Legal Business Name): BUNNY BARBER M.S., CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2014
Last Update Date: 03/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 MADISON ST SUITE #105
DENVER CO
80206-5418
US

IV. Provider business mailing address

90 MADISON ST SUITE #105
DENVER CO
80206-5418
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 Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number553
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: