Provider Demographics
NPI:1043642945
Name:WORKMAN, CORY (AUD)
Entity type:Individual
Prefix:
First Name:CORY
Middle Name:
Last Name:WORKMAN
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1186 GRAVES AVE
Mailing Address - Street 2:UNIT B
Mailing Address - City:ESTES PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80517-5439
Mailing Address - Country:US
Mailing Address - Phone:970-586-5255
Mailing Address - Fax:970-577-7260
Practice Address - Street 1:1186 GRAVES AVE
Practice Address - Street 2:UNIT B
Practice Address - City:ESTES PARK
Practice Address - State:CO
Practice Address - Zip Code:80517-5439
Practice Address - Country:US
Practice Address - Phone:970-586-5255
Practice Address - Fax:970-577-7260
Is Sole Proprietor?:No
Enumeration Date:2013-08-01
Last Update Date:2017-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO692231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist