Provider Demographics
NPI:1699327361
Name:BUECHLER, ANDREA MARGARET (SLP-CCC)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:MARGARET
Last Name:BUECHLER
Suffix:
Gender:F
Credentials:SLP-CCC
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:MARGARET
Other - Last Name:WAGNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP-CCC
Mailing Address - Street 1:7881 W MANSFIELD PKWY UNIT 306
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80235-1939
Mailing Address - Country:US
Mailing Address - Phone:920-475-6054
Mailing Address - Fax:
Practice Address - Street 1:19284 COTTONWOOD DR STE 203
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-3881
Practice Address - Country:US
Practice Address - Phone:720-788-7365
Practice Address - Fax:720-294-1426
Is Sole Proprietor?:No
Enumeration Date:2019-07-12
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSLP.000515235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000142570Medicaid