MEDICARE: XENIA SPEECH 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	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1396689188
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	XENIA SPEECH LLC

Provider Business Mailing Address
First Line	:	1025 MAHLON CT
Second Line	:
City	:	LAFAYETTE
State	:	CO
Zip	:	80026-1828
Country	:	US
Telephone Number	:	720-491-1585
Fax Number	:

Provider Business Practice Location Address
First Line	:	1025 MAHLON CT
Second Line	:
City	:	LAFAYETTE
State	:	CO
Zip	:	80026-1828
Country	:	US
Telephone Number	:	720-491-1585
Fax Number	:

Authorized Official
Title or Position	:	SPEECH LANGUAGE PATHOLOGIST
Name	:	KATHERINE PLAKOS
Credential	:
Telephone Number	:	720-491-1585

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/14/2026

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Directions to “XENIA SPEECH LLC ” Practice Location

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