Provider Demographics
NPI:1679751739
Name:BRETZ, SARAH KATHLEEN (MS)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:KATHLEEN
Last Name:BRETZ
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MISS
Other - First Name:SARAH
Other - Middle Name:KATHLEEN
Other - Last Name:MEIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:9397 CROWN CREST BLVD
Mailing Address - Street 2:SUITE 431
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-8575
Mailing Address - Country:US
Mailing Address - Phone:720-247-2544
Mailing Address - Fax:720-274-2541
Practice Address - Street 1:9397 CROWN CREST BLVD
Practice Address - Street 2:SUITE 431
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-8575
Practice Address - Country:US
Practice Address - Phone:720-247-2544
Practice Address - Fax:720-274-2541
Is Sole Proprietor?:No
Enumeration Date:2008-01-31
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO420231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist