Provider Demographics
NPI:1811170996
Name:COMBS, DIANA SUE (AUD)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:SUE
Last Name:COMBS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 N COMMONS DR STE 200
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-7940
Mailing Address - Country:US
Mailing Address - Phone:630-303-5380
Mailing Address - Fax:630-303-5385
Practice Address - Street 1:6702 W COAL MINE AVE
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-4573
Practice Address - Country:US
Practice Address - Phone:720-283-2082
Practice Address - Fax:720-283-2083
Is Sole Proprietor?:No
Enumeration Date:2007-12-11
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6248038-4101231H00000X
OR22348231H00000X
CO390231H00000X
WALD00003681237600000X
CADAU-1349237600000X
AZDA4282231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter