Provider Demographics
NPI:1528290467
Name:JEND, ERIN ADELE (AUD)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:ADELE
Last Name:JEND
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:ADELE
Other - Last Name:DAVLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:11211 S DRANSFELDT RD
Mailing Address - Street 2:ST 133
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-9385
Mailing Address - Country:US
Mailing Address - Phone:303-841-8818
Mailing Address - Fax:303-841-5088
Practice Address - Street 1:11211 S DRANSFELDT RD
Practice Address - Street 2:ST 133
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-9385
Practice Address - Country:US
Practice Address - Phone:303-841-8818
Practice Address - Fax:303-841-5088
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-11
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO571231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist