Provider Demographics
NPI:1326715681
Name:PILKINGTON, AUDREY ELAINE (MS ED, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:AUDREY
Middle Name:ELAINE
Last Name:PILKINGTON
Suffix:
Gender:F
Credentials:MS ED, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1006 RIVER BEND WAY
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81601-8664
Mailing Address - Country:US
Mailing Address - Phone:951-534-1100
Mailing Address - Fax:
Practice Address - Street 1:52 OLD MIDLAND DR
Practice Address - Street 2:
Practice Address - City:GLENWOOD SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81601-4602
Practice Address - Country:US
Practice Address - Phone:951-534-1100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-25
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COSLP.0004482235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist