Provider Demographics
NPI:1730416595
Name:TURNER, IRENE MACHIKO (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:IRENE
Middle Name:MACHIKO
Last Name:TURNER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-7526
Mailing Address - Country:US
Mailing Address - Phone:970-241-5396
Mailing Address - Fax:970-255-7445
Practice Address - Street 1:1425 N 5TH ST
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-7526
Practice Address - Country:US
Practice Address - Phone:970-241-5396
Practice Address - Fax:970-255-7445
Is Sole Proprietor?:No
Enumeration Date:2009-11-14
Last Update Date:2009-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
11665140OtherCOUNCIL FOR AFFORDABLE QUALITY HEALTH CARE (CAQH)
01069631OtherAMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION