Provider Demographics
NPI:1588205371
Name:ANDRADE, PAIGE ALLISON (AUD)
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:ALLISON
Last Name:ANDRADE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:PAIGE
Other - Middle Name:ALLISON
Other - Last Name:MOWERY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:3324 S FIELD ST APT 180
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80227-4601
Mailing Address - Country:US
Mailing Address - Phone:303-517-7700
Mailing Address - Fax:
Practice Address - Street 1:2770 ARAPAHOE RD STE 126
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-8016
Practice Address - Country:US
Practice Address - Phone:303-872-6467
Practice Address - Fax:303-443-9786
Is Sole Proprietor?:No
Enumeration Date:2019-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAUD.0000973231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist