Provider Demographics
NPI:1063146520
Name:DANG, MONIQUE (AUD)
Entity type:Individual
Prefix:DR
First Name:MONIQUE
Middle Name:
Last Name:DANG
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10175 PARK MEADOWS DR APT 342
Mailing Address - Street 2:
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-8438
Mailing Address - Country:US
Mailing Address - Phone:952-529-0570
Mailing Address - Fax:
Practice Address - Street 1:6375 LEHMAN DR STE 100
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-1427
Practice Address - Country:US
Practice Address - Phone:719-633-1494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-11
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAUD.0001155231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist