Provider Demographics
NPI:1770987687
Name:BUSHEY, TARYN (SLP)
Entity type:Individual
Prefix:
First Name:TARYN
Middle Name:
Last Name:BUSHEY
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:TARYN
Other - Middle Name:
Other - Last Name:COULOMBE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:3509 LOCHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-5782
Mailing Address - Country:US
Mailing Address - Phone:970-432-8810
Mailing Address - Fax:
Practice Address - Street 1:3509 LOCHWOOD DR
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-5782
Practice Address - Country:US
Practice Address - Phone:970-475-1950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-21
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist