Provider Demographics
NPI:1609367432
Name:DECHTER, IRA (HIS)
Entity Type:Individual
Prefix:
First Name:IRA
Middle Name:
Last Name:DECHTER
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 MADISON ST STE 201
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-5411
Mailing Address - Country:US
Mailing Address - Phone:303-322-0054
Mailing Address - Fax:303-355-5879
Practice Address - Street 1:90 MADISON ST STE 201
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-5411
Practice Address - Country:US
Practice Address - Phone:303-322-0054
Practice Address - Fax:303-355-5879
Is Sole Proprietor?:No
Enumeration Date:2018-05-29
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO332237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist