Provider Demographics
NPI:1376928259
Name:HUSKIN, RHIANNON (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:RHIANNON
Middle Name:
Last Name:HUSKIN
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 N IVANHOE CT
Mailing Address - Street 2:
Mailing Address - City:PUEBLO WEST
Mailing Address - State:CO
Mailing Address - Zip Code:81007-2331
Mailing Address - Country:US
Mailing Address - Phone:719-469-2535
Mailing Address - Fax:
Practice Address - Street 1:301 28TH LN
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81001-6035
Practice Address - Country:US
Practice Address - Phone:719-469-2535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-21
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO235Z00000X
COSLP.0000695235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist