Heather Alison Chrzan

Individual provider Active NPI Speech-Language Pathologist · Conifer, CO

NPI 1811327992 · NPPES record last updated Feb 10, 2016

Key facts

NPI
1811327992
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SLP.0001526 (CO)
Practice address
27664 Fawn Dr
Conifer, CO 80433-7216
Phone
(719) 440-4238
NPI assigned
Nov 26, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SLP.0001526COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Chrzan Speech-Language Therapy, LLC Speech-Language Pathologist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP.0001526 CO Yes

Addresses

Primary practice location

27664 Fawn Dr
Conifer, CO 80433-7216

Mailing address

27664 Fawn Dr
Conifer, CO 80433-7216
Phone (719) 440-4238

Other identifiers

IdentifierTypeStateIssuer
14159228MedicaidCO
23572272MedicaidCO

Other providers in Conifer, CO

All providers in Conifer, CO · Speech-Language Pathologist in Colorado

Sources for this page

Verify at the official NPI Registry.