Provider Demographics
NPI:1407909203
Name:NEMANOV, LYUBOV S (AUD)
Entity Type:Individual
Prefix:DR
First Name:LYUBOV
Middle Name:S
Last Name:NEMANOV
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 1:4350 WADSWORTH BLVD STE 340
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-4655
Mailing Address - Country:US
Mailing Address - Phone:303-736-6555
Mailing Address - Fax:303-736-6533
Practice Address - Street 1:4350 WADSWORTH BLVD STE 340
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-4655
Practice Address - Country:US
Practice Address - Phone:303-736-6555
Practice Address - Fax:303-736-6533
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2017-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO435231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist