Basic Information
| Provider Information | |||||||||
| NPI: | 1568038073 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HORAN | ||||||||
| FirstName: | MADELINE | ||||||||
| MiddleName: | CAREY | ||||||||
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| Credential: | AUD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 595 CHAPEL HILLS DR STE 325 | ||||||||
| Address2: | |||||||||
| City: | COLORADO SPRINGS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 809201061 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7193644120 | ||||||||
| FaxNumber: | 7193644171 | ||||||||
| Practice Location | |||||||||
| Address1: | 595 CHAPEL HILLS DR STE 240 | ||||||||
| Address2: | |||||||||
| City: | COLORADO SPRINGS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 809201056 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7193644120 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/03/2021 | ||||||||
| LastUpdateDate: | 07/07/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/07/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | AUD.0001083 | CO | Y | Speech, Language and Hearing Service Providers | Audiologist | 231H00000X | N | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.