Provider Demographics
NPI:1073774600
Name:MARSH, KRISTIN MARY (MA, CCC-A)
Entity Type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:MARY
Last Name:MARSH
Suffix:
Gender:F
Credentials:MA, CCC-A
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 STE 525
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-5073
Mailing Address - Country:US
Mailing Address - Phone:303-799-8778
Mailing Address - Fax:303-744-1110
Practice Address - Street 1:850 E HARVARD AVE STE 525
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-5078
Practice Address - Country:US
Practice Address - Phone:303-799-8778
Practice Address - Fax:303-744-1110
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-17
Last Update Date:2011-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51263237600000X
CO551237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter