Provider Demographics
NPI:1124907902
Name:RUPPERT, MAE OF THE
Entity type:Individual
Prefix:
First Name:MAE
Middle Name:OF THE
Last Name:RUPPERT
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 1:2851 S PARKER RD STE 570
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-2749
Mailing Address - Country:US
Mailing Address - Phone:720-583-6348
Mailing Address - Fax:
Practice Address - Street 1:274 UNION BLVD STE 220
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1835
Practice Address - Country:US
Practice Address - Phone:720-535-5671
Practice Address - Fax:303-362-8986
Is Sole Proprietor?:No
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COSLP.0006629235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist