Provider Demographics
NPI:1225227242
Name:HARDY, ANDREA LEE (AUD)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:LEE
Last Name:HARDY
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 1:8321 SANGRE DE CRISTO RD STE 202
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-6426
Mailing Address - Country:US
Mailing Address - Phone:303-984-4414
Mailing Address - Fax:303-984-6244
Practice Address - Street 1:2980 GINNALA DR
Practice Address - Street 2:UNIT 102
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-2825
Practice Address - Country:US
Practice Address - Phone:970-593-9700
Practice Address - Fax:970-593-9712
Is Sole Proprietor?:No
Enumeration Date:2007-10-16
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO654231H00000X
COAUD654231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO287661YR32Medicare PIN