Provider Demographics
NPI:1568863744
Name:EGGERS, TRICIA ROSE (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:TRICIA
Middle Name:ROSE
Last Name:EGGERS
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7508 S ROSEMARY CIR
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-2631
Mailing Address - Country:US
Mailing Address - Phone:423-967-6365
Mailing Address - Fax:
Practice Address - Street 1:7508 S ROSEMARY CIR
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-2631
Practice Address - Country:US
Practice Address - Phone:423-967-6365
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-08
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COSLP.0001563235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist