Provider Demographics
NPI:1063662047
Name:FISKE, CARA IAPALUCCI (AUD)
Entity Type:Individual
Prefix:DR
First Name:CARA
Middle Name:IAPALUCCI
Last Name:FISKE
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 1:850 E HARVARD AVE
Mailing Address - Street 2:SUITE 525
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-5073
Mailing Address - Country:US
Mailing Address - Phone:303-777-4327
Mailing Address - Fax:303-744-1154
Practice Address - Street 1:9218 KIMMER DR
Practice Address - Street 2:SUITE 200
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-6732
Practice Address - Country:US
Practice Address - Phone:303-799-8778
Practice Address - Fax:303-790-8666
Is Sole Proprietor?:No
Enumeration Date:2008-09-25
Last Update Date:2012-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO543231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO543OtherAUDIOLOGY STATE LISCENSURE