Provider Demographics
NPI:1447520754
Name:GILGER, MONETA MARIE (MS SLP-CCC)
Entity type:Individual
Prefix:
First Name:MONETA
Middle Name:MARIE
Last Name:GILGER
Suffix:
Gender:F
Credentials:MS SLP-CCC
Other - Prefix:
Other - First Name:MONETA
Other - Middle Name:MARIE
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16365 E BROWN DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-1832
Mailing Address - Country:US
Mailing Address - Phone:720-295-0797
Mailing Address - Fax:
Practice Address - Street 1:16365 E BROWN DR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-1832
Practice Address - Country:US
Practice Address - Phone:720-295-0797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-03
Last Update Date:2015-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CO0000781235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program