Healthcare Provider Details

I. General information

NPI: 1780608109
Provider Name (Legal Business Name): KARIE LYNN HALE SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4701 STRAUSS CABIN RD APT 11111
FORT COLLINS CO
80528-4676
US

IV. Provider business mailing address

4701 STRAUSS CABIN RD APT 11111
FORT COLLINS CO
80528-4676
US

V. Phone/Fax

Practice location:
  • Phone: 812-374-9477
  • Fax:
Mailing address:
  • Phone: 812-374-9477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP.0007022
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: