Provider Demographics
NPI:1972081628
Name:HEARING CENTER OF THE ROCKIES LLC
Entity Type:Organization
Organization Name:HEARING CENTER OF THE ROCKIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:PICCONE
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:720-355-3956
Mailing Address - Street 1:3805 YELLOW PINE PL
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-8904
Mailing Address - Country:US
Mailing Address - Phone:720-355-3956
Mailing Address - Fax:
Practice Address - Street 1:3805 YELLOW PINE PL
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-8904
Practice Address - Country:US
Practice Address - Phone:720-355-3956
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-04
Last Update Date:2018-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAUD.0000459231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty