MEDICARE: MS. DEBORAH L. HUZZARD M.S., CCC

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	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1396947511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DEBORAH L. HUZZARD M.S., CCC

Provider Business Mailing Address
First Line	:	8892 E MAD RIVER RD
Second Line	:
City	:	PARKER
State	:	CO
Zip	:	80134-5707
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6005 S HOLLY ST
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80121-3460
Country	:	US
Telephone Number	:	303-773-1000
Fax Number	:

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

Provider Enumeration Date	:	06/01/2007
Last Update Date	:	07/08/2007

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