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General NPI Number Information
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NPI Number | 1710684022
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Entity Type | Individual
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Provider Name | KHRISI MARIE VALDEZ OROFACIAL MYOLOGIST
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Gender | Female
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Dates
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Enumeration Date | 02/08/2023
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Last Update Date | 02/08/2023
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Provider Practice Location Address
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Address Line | 2121 S ONEIDA ST
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City | DENVER
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State | CO
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Zip | 80224-2549
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Country | US
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Telephone | 303-759-2760
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Fax |
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Provider Business Mailing Address
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Address Line | 2121 S ONEIDA ST
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City | DENVER
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State | CO
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Zip | 80224-2549
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Country | US
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Telephone | 303-759-2760
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225500000X
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Taxonomy Name | Respiratory/Developmental/Rehabilitative Specialist/Technologist
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License Number | 1245788
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 235500000X
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Taxonomy Name | Speech/Language/Hearing Specialist/Technologist
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License Number | 124577
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 246Z00000X
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Taxonomy Name | Other Specialist/Technologist
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License Number | 124577
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 235500000X
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Taxonomy Name | Speech/Language/Hearing Specialist/Technologist
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License Number | 124578
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License Number State | CO
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