Provider Demographics
NPI:1467520874
Name:CONROY, MARY COLLEEN (AUD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:COLLEEN
Last Name:CONROY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9071 SOUTH 1300 WEST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WEST JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84088
Mailing Address - Country:US
Mailing Address - Phone:801-938-1117
Mailing Address - Fax:801-938-2771
Practice Address - Street 1:27475 FERRY ROAD
Practice Address - Street 2:#109
Practice Address - City:WARRENVILLE
Practice Address - State:IL
Practice Address - Zip Code:60555-3808
Practice Address - Country:US
Practice Address - Phone:630-717-2751
Practice Address - Fax:866-961-3161
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147001062231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist