Provider Demographics
NPI:1245931013
Name:NETSANET, ADOM
Entity type:Individual
Prefix:
First Name:ADOM
Middle Name:
Last Name:NETSANET
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 1:397 S PEORIA CIR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-2245
Mailing Address - Country:US
Mailing Address - Phone:720-380-3672
Mailing Address - Fax:
Practice Address - Street 1:397 S PEORIA CIR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-2245
Practice Address - Country:US
Practice Address - Phone:720-380-3672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-16
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist