Provider Demographics
NPI:1023381365
Name:REGENTS OF COLORADO
Entity Type:Organization
Organization Name:REGENTS OF COLORADO
Other - Org Name:CU DEAF SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROJECT COORDINATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:SEDEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, CCC-SLP, CCC-
Authorized Official - Phone:303-492-0078
Mailing Address - Street 1:UNIVERSITY OF COLORADO BOULDER
Mailing Address - Street 2:409 UCB
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80309-0409
Mailing Address - Country:US
Mailing Address - Phone:303-492-0078
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF COLORADO BOULDER
Practice Address - Street 2:409 UCB
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80309-0409
Practice Address - Country:US
Practice Address - Phone:303-492-0078
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-16
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO90707541Medicaid