MEDICARE: MADELYN TRIZ

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	SLP.0003193	CO

General Provider Information

NPI Number	:	1770039638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADELYN TRIZ

Provider Business Mailing Address
First Line	:	991 COLUMBINE DR
Second Line	:
City	:	WINDSOR
State	:	CO
Zip	:	80550-5545
Country	:	US
Telephone Number	:	970-372-8204
Fax Number	:

Provider Business Practice Location Address
First Line	:	4650 ROYAL VISTA CIR STE 100
Second Line	:
City	:	WINDSOR
State	:	CO
Zip	:	80528-9321
Country	:	US
Telephone Number	:	970-305-5070
Fax Number	:

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

Provider Enumeration Date	:	08/31/2016
Last Update Date	:	08/24/2025

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Directions to “ MADELYN TRIZ ” Practice Location

Language	Start Address	Practice Location

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