Basic Information
| Provider Information | |||||||||
| NPI: | 1013577402 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | AUST | ||||||||
| FirstName: | CAITLIN | ||||||||
| MiddleName: | MARIE | ||||||||
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| Credential: | AUD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6500 29TH ST STE 106 | ||||||||
| Address2: | |||||||||
| City: | GREELEY | ||||||||
| State: | CO | ||||||||
| PostalCode: | 806348386 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9703305555 | ||||||||
| FaxNumber: | 9705841055 | ||||||||
| Practice Location | |||||||||
| Address1: | 6500 29TH ST STE 106 | ||||||||
| Address2: | |||||||||
| City: | GREELEY | ||||||||
| State: | CO | ||||||||
| PostalCode: | 806348386 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7095841055 | ||||||||
| FaxNumber: | 9705841054 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/18/2019 | ||||||||
| LastUpdateDate: | 04/15/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/15/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | 5166 | OK | N | Speech, Language and Hearing Service Providers | Audiologist | 231H00000X | 0001122 | CO | Y | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.