Provider Demographics
NPI:1740854785
Name:HORDESKY, BRENNA C (CCC-SLP)
Entity type:Individual
Prefix:
First Name:BRENNA
Middle Name:C
Last Name:HORDESKY
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:BRENNA
Other - Middle Name:C
Other - Last Name:BALTAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:8505 E ALAMEDA AVE UNIT 2214
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-6064
Mailing Address - Country:US
Mailing Address - Phone:775-544-8011
Mailing Address - Fax:
Practice Address - Street 1:9000 E NICHOLS AVE STE 100
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-3429
Practice Address - Country:US
Practice Address - Phone:720-706-3396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-14
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist