Provider Demographics
NPI:1558650036
Name:DUREN, KATHRYN M (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:M
Last Name:DUREN
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1116 N THORPE DR
Mailing Address - Street 2:
Mailing Address - City:PUEBLO WEST
Mailing Address - State:CO
Mailing Address - Zip Code:81007-1207
Mailing Address - Country:US
Mailing Address - Phone:719-561-9207
Mailing Address - Fax:
Practice Address - Street 1:129 COLORADO AVE STE A
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81004-4213
Practice Address - Country:US
Practice Address - Phone:719-470-2932
Practice Address - Fax:844-945-4299
Is Sole Proprietor?:No
Enumeration Date:2011-04-05
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist