Provider Demographics
NPI:1316275688
Name:WEBSTER, ANNE ELIZABETH
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:ELIZABETH
Last Name:WEBSTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:281 SAWYER DRIVE, SUITE 200
Mailing Address - Street 2:COMMUNITY CONNECTIONS INC
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81303-3412
Mailing Address - Country:US
Mailing Address - Phone:970-385-3498
Mailing Address - Fax:970-259-2618
Practice Address - Street 1:281 SAWYER DRIVE, SUITE 200
Practice Address - Street 2:COMMUNITY CONNECTIONS INC
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81303-3412
Practice Address - Country:US
Practice Address - Phone:970-385-3498
Practice Address - Fax:970-259-2618
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-25
Last Update Date:2009-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0419830235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist