Healthcare Provider Details

I. General information

NPI: 1427571090
Provider Name (Legal Business Name): GEDDES THERAPIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2017
Last Update Date: 04/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7501 VILLAGE SQUARE DR STE 201
CASTLE PINES CO
80108-3708
US

IV. Provider business mailing address

7501 VILLAGE SQUARE DR STE 201
CASTLE PINES CO
80108-3708
US

V. Phone/Fax

Practice location:
  • Phone: 720-560-1017
  • Fax: 720-886-9158
Mailing address:
  • Phone: 720-560-1017
  • Fax: 720-886-9158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number0001166
License Number StateCO

VIII. Authorized Official

Name: MRS. ERIN GEDDES
Title or Position: OWNER/MANAGER
Credential: M.A. CCC-SLP
Phone: 720-560-1017