Provider Demographics
NPI:1396029526
Name:KONRATH, EILEEN M (M A)
Entity Type:Individual
Prefix:
First Name:EILEEN
Middle Name:M
Last Name:KONRATH
Suffix:
Gender:F
Credentials:M A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9723 W ARLINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-7441
Mailing Address - Country:US
Mailing Address - Phone:303-948-0796
Mailing Address - Fax:
Practice Address - Street 1:9723 W ARLINGTON AVE
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-7441
Practice Address - Country:US
Practice Address - Phone:303-948-0796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-06
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist