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NPI Code Detail

MEDICARE: EMILY ALEXANDRA ACTKINSON

MEDICARE: EMILY ALEXANDRA ACTKINSON
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
1235Z00000XSpeech-Language Pathologist14180476CO

General Provider Information

NPI Number : 1891210316
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY ALEXANDRA ACTKINSON
Provider Business Mailing Address
First Line : 4500 E CHERRY CREEK SOUTH DR STE 710
Second Line :
City : DENVER
State : CO
Zip : 80246-1534
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4500 E CHERRY CREEK SOUTH DR STE 710
Second Line :
City : DENVER
State : CO
Zip : 80246-1534
Country : US
Telephone Number : 303-432-8487
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2017
Last Update Date : 08/05/2017

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Directions to “ EMILY ALEXANDRA ACTKINSON ” Practice Location

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