Provider Demographics
NPI:1598218414
Name:BERSCHEID, BARBARA SUE (MA,CCC-SLP)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:SUE
Last Name:BERSCHEID
Suffix:
Gender:F
Credentials:MA,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7833 E COLGATE PL
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-4130
Mailing Address - Country:US
Mailing Address - Phone:303-815-7767
Mailing Address - Fax:
Practice Address - Street 1:7833 E COLGATE PL
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-4130
Practice Address - Country:US
Practice Address - Phone:303-815-7767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-27
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist