Provider Demographics
NPI:1992544696
Name:HARTMAN, ELENA CAROL
Entity type:Individual
Prefix:
First Name:ELENA
Middle Name:CAROL
Last Name:HARTMAN
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:EL
Other - Middle Name:CAROL
Other - Last Name:HARTMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5593 S BILOXI WAY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-5854
Mailing Address - Country:US
Mailing Address - Phone:303-880-2366
Mailing Address - Fax:
Practice Address - Street 1:5593 S BILOXI WAY
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-5854
Practice Address - Country:US
Practice Address - Phone:303-880-2366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-22
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO24442348235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist