Provider Demographics
NPI:1891946562
Name:TYLER, KOZUE K (AUD)
Entity type:Individual
Prefix:DR
First Name:KOZUE
Middle Name:K
Last Name:TYLER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9025 GRANT ST
Mailing Address - Street 2:STE. 201
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-4378
Mailing Address - Country:US
Mailing Address - Phone:303-920-1015
Mailing Address - Fax:303-252-1437
Practice Address - Street 1:9025 GRANT ST
Practice Address - Street 2:STE. 201
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-4378
Practice Address - Country:US
Practice Address - Phone:303-920-1015
Practice Address - Fax:303-252-1437
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-30
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO416231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist