MEDICARE: CATHERINE GOOD RICHARDSON

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	AUD.0000579	CO

General Provider Information

NPI Number	:	1629472295
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE GOOD RICHARDSON

Provider Business Mailing Address
First Line	:	1402 S PARKER RD
Second Line	:	STE A106
City	:	DENVER
State	:	CO
Zip	:	80231-2758
Country	:	US
Telephone Number	:	303-755-1733
Fax Number	:

Provider Business Practice Location Address
First Line	:	1402 S PARKER RD
Second Line	:	STE A106
City	:	DENVER
State	:	CO
Zip	:	80231-2758
Country	:	US
Telephone Number	:	303-755-1733
Fax Number	:

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

Provider Enumeration Date	:	10/10/2014
Last Update Date	:	10/10/2014

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Directions to “ CATHERINE GOOD RICHARDSON ” Practice Location

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