Provider Demographics
NPI:1033319090
Name:NUANES, LADEAN BRIGHAM (M A, CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:LADEAN
Middle Name:BRIGHAM
Last Name:NUANES
Suffix:
Gender:F
Credentials:M A, CCC/SLP
Other - Prefix:
Other - First Name:CISSY
Other - Middle Name:
Other - Last Name:BRIGHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9151 E EASTMAN AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-4652
Mailing Address - Country:US
Mailing Address - Phone:303-755-8740
Mailing Address - Fax:
Practice Address - Street 1:2900 S UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-6029
Practice Address - Country:US
Practice Address - Phone:303-773-1034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-18
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0365958235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist