Provider Demographics
NPI:1528207701
Name:ARCHULETA, CHRISTY THOMPSON (PHD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTY
Middle Name:THOMPSON
Last Name:ARCHULETA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 632166
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80163-2166
Mailing Address - Country:US
Mailing Address - Phone:307-760-5526
Mailing Address - Fax:
Practice Address - Street 1:7138 CHESTNUT HILL ST
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80130-5106
Practice Address - Country:US
Practice Address - Phone:307-760-5526
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-12
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1064434102235Z00000X
WYSP 377235Z00000X
CO298235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist