Provider Demographics
NPI:1326283995
Name:CHAMBERS, SELONDA (AUD)
Entity Type:Individual
Prefix:
First Name:SELONDA
Middle Name:
Last Name:CHAMBERS
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 1:5990 GREENWOOD PLAZA BLVD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4704
Mailing Address - Country:US
Mailing Address - Phone:720-385-3712
Mailing Address - Fax:720-385-3728
Practice Address - Street 1:5990 GREENWOOD PLAZA BLVD
Practice Address - Street 2:SUITE 120
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-4704
Practice Address - Country:US
Practice Address - Phone:720-385-3712
Practice Address - Fax:720-385-3728
Is Sole Proprietor?:No
Enumeration Date:2008-12-10
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO499231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist