Provider Demographics
NPI:1902044662
Name:NORTHWEST SPEECH AND HEARING SERVICES INC.
Entity Type:Organization
Organization Name:NORTHWEST SPEECH AND HEARING SERVICES INC.
Other - Org Name:NORTHWEST HEARING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KELLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HISEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-879-7286
Mailing Address - Street 1:940 CENTRAL PARK DR
Mailing Address - Street 2:SUITE 208
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80487-8816
Mailing Address - Country:US
Mailing Address - Phone:970-879-7286
Mailing Address - Fax:970-879-7677
Practice Address - Street 1:940 CENTRAL PARK DR.
Practice Address - Street 2:SUITE 208
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-8816
Practice Address - Country:US
Practice Address - Phone:970-879-7286
Practice Address - Fax:970-879-7677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-03
Last Update Date:2017-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO57231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty