Provider Demographics
NPI:1679106074
Name:CONROY, SAGE
Entity Type:Individual
Prefix:
First Name:SAGE
Middle Name:
Last Name:CONROY
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 1:1860 N LINCOLN ST.
Mailing Address - Street 2:FL 11
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-7301
Mailing Address - Country:US
Mailing Address - Phone:720-423-2660
Mailing Address - Fax:
Practice Address - Street 1:1860 N LINCOLN ST.
Practice Address - Street 2:FL 11
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-7301
Practice Address - Country:US
Practice Address - Phone:720-423-2660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-14
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO24434083235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist