MEDICARE: MRS. JENNIFER HARRIS TORRES M.A.,CCC-A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386613669
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER HARRIS TORRES M.A.,CCC-A

Provider Business Mailing Address
First Line	:	401 W. HAMPDEN PL
Second Line	:	SUITE 240
City	:	ENGLEWOOD
State	:	CO
Zip	:	80110-2471
Country	:	US
Telephone Number	:	303-788-7880
Fax Number	:	303-788-7883

Provider Business Practice Location Address
First Line	:	401 W. HAMPDEN PL
Second Line	:	SUITE 240
City	:	ENGLEWOOD
State	:	CO
Zip	:	80110-2471
Country	:	US
Telephone Number	:	303-788-7880
Fax Number	:	303-788-7883

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	07/08/2007

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