Provider Demographics
NPI:1285254532
Name:TRUE, JILL ELIZABETH (HIS)
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:ELIZABETH
Last Name:TRUE
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:JILL
Other - Middle Name:ELIZABETH
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4745 ARAPAHOE AVE STE 130
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-1082
Mailing Address - Country:US
Mailing Address - Phone:303-443-2771
Mailing Address - Fax:
Practice Address - Street 1:4745 ARAPAHOE AVE STE 130
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-1082
Practice Address - Country:US
Practice Address - Phone:303-558-8792
Practice Address - Fax:303-443-2784
Is Sole Proprietor?:No
Enumeration Date:2020-04-16
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO311237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist