Provider Demographics
NPI:1386210151
Name:HALVORSEN, SIAN CONLON (AUD)
Entity Type:Individual
Prefix:DR
First Name:SIAN
Middle Name:CONLON
Last Name:HALVORSEN
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 1:10314 RED FERN TRL
Mailing Address - Street 2:
Mailing Address - City:CONIFER
Mailing Address - State:CO
Mailing Address - Zip Code:80433-8634
Mailing Address - Country:US
Mailing Address - Phone:940-368-4462
Mailing Address - Fax:
Practice Address - Street 1:601 E HAMPDEN AVE STE 430
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2770
Practice Address - Country:US
Practice Address - Phone:303-783-9220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-01
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist