Provider Demographics
NPI:1053282145
Name:RATZAN-WANK, HAYLEY (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:HAYLEY
Middle Name:
Last Name:RATZAN-WANK
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 E FLATIRON CROSSING DR UNIT 1312
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80021-8123
Mailing Address - Country:US
Mailing Address - Phone:818-665-8085
Mailing Address - Fax:
Practice Address - Street 1:270 E FLATIRON CROSSING DR UNIT 1312
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80021-8123
Practice Address - Country:US
Practice Address - Phone:818-665-8085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-13
Last Update Date:2025-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COSLP.0006516235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist