Provider Demographics
NPI:1215189386
Name:HALLIGAN, GUY W (BA, BC, HIS)
Entity Type:Individual
Prefix:
First Name:GUY
Middle Name:W
Last Name:HALLIGAN
Suffix:
Gender:M
Credentials:BA, BC, HIS
Other - Prefix:MR
Other - First Name:GUY
Other - Middle Name:W
Other - Last Name:HALLIGAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AUD
Mailing Address - Street 1:11859 PECOS ST
Mailing Address - Street 2:SUITE 320
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80234-2741
Mailing Address - Country:US
Mailing Address - Phone:303-466-6000
Mailing Address - Fax:303-466-6001
Practice Address - Street 1:11859 PECOS ST
Practice Address - Street 2:SUITE 320
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80234-2741
Practice Address - Country:US
Practice Address - Phone:303-466-6000
Practice Address - Fax:303-466-6001
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COHIS20237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist