Provider Demographics
NPI:1992146708
Name:COLIO, KERI MICHELLE (AUD)
Entity type:Individual
Prefix:DR
First Name:KERI
Middle Name:MICHELLE
Last Name:COLIO
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:KERI
Other - Middle Name:MICHELLE
Other - Last Name:COLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:3020 CHILDREN'S WAY, MC 5010
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123
Mailing Address - Country:US
Mailing Address - Phone:858-966-1700
Mailing Address - Fax:858-966-7803
Practice Address - Street 1:3665 KEARNY VILLA ROAD
Practice Address - Street 2:SUITE 400
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123
Practice Address - Country:US
Practice Address - Phone:858-966-1700
Practice Address - Fax:858-966-7803
Is Sole Proprietor?:No
Enumeration Date:2013-07-09
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2942231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist