Provider Demographics
NPI:1881458818
Name:GREENWALD BLAUSTEIN, LINDA
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:GREENWALD BLAUSTEIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7350 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80221-3610
Mailing Address - Country:US
Mailing Address - Phone:303-853-1000
Mailing Address - Fax:
Practice Address - Street 1:VALLEY VIEW INNOVATION SCHOOL
Practice Address - Street 2:6951 FOX WAY
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80221
Practice Address - Country:US
Practice Address - Phone:303-853-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-09
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO12095406235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist