MEDICARE: MONTVIEW SPEECH THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0700X	Hearing and Speech Clinic/Center
2	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1134959364
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONTVIEW SPEECH THERAPY LLC

Provider Business Mailing Address
First Line	:	1901 QUINCE ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80220-1932
Country	:	US
Telephone Number	:	607-353-2510
Fax Number	:

Provider Business Practice Location Address
First Line	:	1901 QUINCE ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80220-1932
Country	:	US
Telephone Number	:	607-353-2510
Fax Number	:

Authorized Official
Title or Position	:	SOLE OWNER
Name	:	SHAWN DAVID WHITE
Credential	:	CCC-SLP
Telephone Number	:	607-353-2510

Provider Enumeration Date	:	08/02/2024
Last Update Date	:	06/18/2025

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Directions to “MONTVIEW SPEECH THERAPY LLC ” Practice Location

Language	Start Address	Practice Location

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