Provider Demographics
NPI:1427208040
Name:VARGA, CARLI (SLP)
Entity Type:Individual
Prefix:
First Name:CARLI
Middle Name:
Last Name:VARGA
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:CARLI
Other - Middle Name:
Other - Last Name:HARTMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:370 S 39TH ST
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80305-5412
Mailing Address - Country:US
Mailing Address - Phone:303-658-0529
Mailing Address - Fax:
Practice Address - Street 1:370 S 39TH ST
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80305-5412
Practice Address - Country:US
Practice Address - Phone:303-658-0529
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-19
Last Update Date:2012-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP1268235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist