Provider Demographics
NPI:1972162238
Name:WILLIAMS, RILEY ELIZABETH
Entity Type:Individual
Prefix:
First Name:RILEY
Middle Name:ELIZABETH
Last Name:WILLIAMS
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 1:1777 CHESTNUT PL APT 1334
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-6563
Mailing Address - Country:US
Mailing Address - Phone:801-243-5600
Mailing Address - Fax:303-479-0379
Practice Address - Street 1:2000 S COLORADO BLVD STE 7300
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-7948
Practice Address - Country:US
Practice Address - Phone:303-956-1823
Practice Address - Fax:303-479-0379
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-11
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COHAD0000386237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
102990OtherDOB