Healthcare Provider Details

I. General information

NPI: 1083886550
Provider Name (Legal Business Name): JENNIFER R SCHRYER AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2008
Last Update Date: 05/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 MOUNT SOPRIS DR
GLENWOOD SPRINGS CO
81601
US

IV. Provider business mailing address

1100 MOUNT SOPRIS DR
GLENWOOD SPRINGS CO
81601-4606
US

V. Phone/Fax

Practice location:
  • Phone: 720-352-9652
  • Fax:
Mailing address:
  • Phone: 720-352-9652
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number340
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: