Healthcare Provider Details

I. General information

NPI: 1225958481
Provider Name (Legal Business Name): ACAYLA PAULETTE CHUNG AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9933 HARRIS ST
THORNTON CO
80229-2491
US

IV. Provider business mailing address

9933 HARRIS ST
THORNTON CO
80229-2491
US

V. Phone/Fax

Practice location:
  • Phone: 303-928-0582
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAUD.0001382
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: