Provider Demographics
NPI:1629472295
Name:RICHARDSON, CATHERINE GOOD
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:GOOD
Last Name:RICHARDSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1402 S PARKER RD
Mailing Address - Street 2:STE A106
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-2758
Mailing Address - Country:US
Mailing Address - Phone:303-755-1733
Mailing Address - Fax:
Practice Address - Street 1:1402 S PARKER RD
Practice Address - Street 2:STE A106
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-2758
Practice Address - Country:US
Practice Address - Phone:303-755-1733
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-10
Last Update Date:2014-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAUD.0000579231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist