Provider Demographics
NPI:1154576031
Name:DOYLE, HARRIET GEARY (MS,CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:HARRIET
Middle Name:GEARY
Last Name:DOYLE
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4950 WALKING HORSE PT
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80923-1116
Mailing Address - Country:US
Mailing Address - Phone:719-596-6639
Mailing Address - Fax:
Practice Address - Street 1:1901 N UNION BLVD
Practice Address - Street 2:STE 202
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-2283
Practice Address - Country:US
Practice Address - Phone:719-522-1080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-19
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
01103474235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0113474OtherAMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION