Provider Demographics
NPI:1427000470
Name:CLARKE, JENNIFER ROBERSON (AUD)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:ROBERSON
Last Name:CLARKE
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 1:1975 WEST 120TH AVE, SUITE 100
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80234
Mailing Address - Country:US
Mailing Address - Phone:303-255-9595
Mailing Address - Fax:303-255-9596
Practice Address - Street 1:1975 WEST 120TH AVE, SUITE 100
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80234
Practice Address - Country:US
Practice Address - Phone:303-255-9595
Practice Address - Fax:303-255-9596
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAUD.0000858237600000X
AZHAD412237700000X
AZDA1666237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist