Provider Demographics
NPI:1730601477
Name:MCCARTY, ELAINE KIM (AUD)
Entity type:Individual
Prefix:
First Name:ELAINE
Middle Name:KIM
Last Name:MCCARTY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:ELAINE
Other - Middle Name:H
Other - Last Name:KIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3323 W 114TH PL
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-7133
Mailing Address - Country:US
Mailing Address - Phone:224-241-4937
Mailing Address - Fax:
Practice Address - Street 1:3323 W 114TH PL
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-7133
Practice Address - Country:US
Practice Address - Phone:224-241-4937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-14
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAUD.0000946231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist