Provider Demographics
NPI:1356779383
Name:BLEIDT, MARTI (MA)
Entity type:Individual
Prefix:MS
First Name:MARTI
Middle Name:
Last Name:BLEIDT
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3270 S INGALLS ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80227-5444
Mailing Address - Country:US
Mailing Address - Phone:303-358-2391
Mailing Address - Fax:
Practice Address - Street 1:3270 S INGALLS ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80227-5444
Practice Address - Country:US
Practice Address - Phone:303-358-3291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-30
Last Update Date:2013-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0451150231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist