Provider Demographics
NPI:1043901861
Name:SAMSON, CAROLE ANGELA (AUD)
Entity Type:Individual
Prefix:
First Name:CAROLE
Middle Name:ANGELA
Last Name:SAMSON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12255 CLAUDE CT APT 533
Mailing Address - Street 2:
Mailing Address - City:NORTHGLENN
Mailing Address - State:CO
Mailing Address - Zip Code:80241-3338
Mailing Address - Country:US
Mailing Address - Phone:818-640-5223
Mailing Address - Fax:
Practice Address - Street 1:1830 N FRANKLIN ST
Practice Address - Street 2:STE 150, B585
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1128
Practice Address - Country:US
Practice Address - Phone:720-777-6801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1197237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter