Provider Demographics
NPI:1285919175
Name:GUY, HEATHER MANGUM (AUD)
Entity type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:MANGUM
Last Name:GUY
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 1:7720 S BROADWAY
Mailing Address - Street 2:SUITE 480
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122-2632
Mailing Address - Country:US
Mailing Address - Phone:303-347-0800
Mailing Address - Fax:303-347-1140
Practice Address - Street 1:7720 S BROADWAY
Practice Address - Street 2:SUITE 480
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2632
Practice Address - Country:US
Practice Address - Phone:303-347-0800
Practice Address - Fax:303-347-1140
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-11
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO619231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist