Provider Demographics
NPI:1063853612
Name:BELL, EMILY KATHRYN (AUD)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:KATHRYN
Last Name:BELL
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:EMILY
Other - Middle Name:KATHRYN
Other - Last Name:DURBIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:2105 ACADEMY CIR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-1663
Mailing Address - Country:US
Mailing Address - Phone:719-591-2463
Mailing Address - Fax:
Practice Address - Street 1:2105 ACADEMY CIR
Practice Address - Street 2:SUITE 100
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-1663
Practice Address - Country:US
Practice Address - Phone:719-591-2463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-11
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO684231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO22086773Medicaid
CO304323YT0JMedicare PIN