Provider Demographics
NPI:1649543893
Name:CARTFORD, MARY CLAIRE (PHD)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:CLAIRE
Last Name:CARTFORD
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2626 W 42ND AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-1730
Mailing Address - Country:US
Mailing Address - Phone:303-903-4008
Mailing Address - Fax:
Practice Address - Street 1:2626 W 42ND AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-1730
Practice Address - Country:US
Practice Address - Phone:303-903-4008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-20
Last Update Date:2012-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO533231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist