Provider Demographics
NPI:1447805601
Name:HERBERS, ALEXA CLAIRE
Entity Type:Individual
Prefix:
First Name:ALEXA
Middle Name:CLAIRE
Last Name:HERBERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:695 S COLORADO BLVD STE 20
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-8010
Mailing Address - Country:US
Mailing Address - Phone:303-360-0727
Mailing Address - Fax:
Practice Address - Street 1:172 S PENNSYLVANIA ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-1918
Practice Address - Country:US
Practice Address - Phone:720-640-0472
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-05
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO90001751222Medicaid