Provider Demographics
NPI:1386869188
Name:FLOYD, ANDREW (MA,SLP)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:FLOYD
Suffix:
Gender:M
Credentials:MA,SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2392 E 116TH CT
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80233-2335
Mailing Address - Country:US
Mailing Address - Phone:303-955-0665
Mailing Address - Fax:
Practice Address - Street 1:2392 E 116TH CT
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80233-2335
Practice Address - Country:US
Practice Address - Phone:303-955-0665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2009-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
12009489235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist