Provider Demographics
NPI:1497296214
Name:BOYCE, DAMON (AUD)
Entity Type:Individual
Prefix:
First Name:DAMON
Middle Name:
Last Name:BOYCE
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5444 MOUNTAIN GARLAND DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80923-8816
Mailing Address - Country:US
Mailing Address - Phone:719-505-4023
Mailing Address - Fax:
Practice Address - Street 1:5444 MOUNTAIN GARLAND DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80923-8816
Practice Address - Country:US
Practice Address - Phone:719-505-4023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-13
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAUD.0000620231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist