Provider Demographics
NPI:1457576225
Name:HALES, AMBER LEIGH (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:LEIGH
Last Name:HALES
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MS
Other - First Name:AMBER
Other - Middle Name:LEIGH
Other - Last Name:LORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:5750 DTC PARKWAY
Mailing Address - Street 2:SUITE 170
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-5483
Mailing Address - Country:US
Mailing Address - Phone:303-504-9945
Mailing Address - Fax:303-504-9946
Practice Address - Street 1:5750 DTC PARKWAY
Practice Address - Street 2:SUITE 170
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-5483
Practice Address - Country:US
Practice Address - Phone:303-504-9945
Practice Address - Fax:303-504-9946
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO29577039Medicaid
CO649046OtherANTHEM
CO841465539OtherTAX ID
CO29577039Medicaid