Doctor Name: | AUTUMN TENNILLE HAYES-DIGES |
NPI Number: | 1063883379 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSLP, CCC-SLP, ATP |
License Number: | SLP0000333 |
Business Practice Address: | 175 S Union Blvd Suite 255 Colorado Springs, CO - 809103113 |
Business Phone Number: | 7193058000 |
Business Fax Number: | 7193058001 |
Mailing Address: | 175 S. Union, Suite 255 COLORADO SPRINGS |
State: | CO |
Postal Code: | 809103126 |
Phone Number: | 7193058217 |
Fax Number: | 7193058001 |
NPI Enumeration Date: | 10/13/2015 |
NPI Last Update Date: | 10/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP0000333 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |