Provider Demographics
NPI:1093919243
Name:MITCHELL, LEAH RAE (AUD, F-AAA)
Entity Type:Individual
Prefix:MRS
First Name:LEAH
Middle Name:RAE
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:AUD, F-AAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 PLAZA DR
Mailing Address - Street 2:STE 110
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-2348
Mailing Address - Country:US
Mailing Address - Phone:303-884-7763
Mailing Address - Fax:
Practice Address - Street 1:8321 SANGRE DE CRISTO RD
Practice Address - Street 2:SUITE 202
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-6425
Practice Address - Country:US
Practice Address - Phone:303-984-4414
Practice Address - Fax:303-984-6244
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAUD496231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO413OtherSTATE OF COLORADO REG.