Healthcare Provider Details

I. General information

NPI: 1962324525
Provider Name (Legal Business Name): MOUNTAIN MINDED SPEECH THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 ASPEN AIRPORT BUSINESS CTR APT F
ASPEN CO
81611-2558
US

IV. Provider business mailing address

420 ASPEN AIRPORT BUSINESS CTR APT F
ASPEN CO
81611-2558
US

V. Phone/Fax

Practice location:
  • Phone: 484-362-8077
  • Fax:
Mailing address:
  • Phone: 484-362-8077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: EMMA SCUDDER
Title or Position: SPEECH-LANGUAGE PATHOLOGIST
Credential: MA, CCC-SLP
Phone: 484-362-8077