Provider Demographics
NPI:1194063354
Name:RENFROE, TROY JUSTIN
Entity type:Individual
Prefix:MR
First Name:TROY
Middle Name:JUSTIN
Last Name:RENFROE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13337 MISTY ST
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-5280
Mailing Address - Country:US
Mailing Address - Phone:720-236-8663
Mailing Address - Fax:
Practice Address - Street 1:13337 MISTY ST
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-5280
Practice Address - Country:US
Practice Address - Phone:720-236-8663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-23
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist