Provider Demographics
NPI:1033647805
Name:GLIVA, REILLY ELIZABETH
Entity type:Individual
Prefix:
First Name:REILLY
Middle Name:ELIZABETH
Last Name:GLIVA
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 1:5454 S CIMARRON RD
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-2999
Mailing Address - Country:US
Mailing Address - Phone:847-902-7300
Mailing Address - Fax:
Practice Address - Street 1:14827 CLAYTON ST
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80602-7340
Practice Address - Country:US
Practice Address - Phone:269-330-1403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-24
Last Update Date:2017-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty