Provider Demographics
NPI:1609124106
Name:NEW LEAF HEARING CLINIC INC
Entity type:Organization
Organization Name:NEW LEAF HEARING CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:RANEY
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-A
Authorized Official - Phone:303-639-5323
Mailing Address - Street 1:8721 WADSWORTH BLVD
Mailing Address - Street 2:SUITE C
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80003-0929
Mailing Address - Country:US
Mailing Address - Phone:303-639-5323
Mailing Address - Fax:303-940-5615
Practice Address - Street 1:8721 WADSWORTH BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-0929
Practice Address - Country:US
Practice Address - Phone:303-639-5323
Practice Address - Fax:303-940-5615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-15
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO31147301261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech